Lisa M Tucker-williams, RD | |
7070 Milton Ct, Milton, FL 32583-5448 | |
(850) 698-8706 | |
Not Available |
Full Name | Lisa M Tucker-williams |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7070 Milton Ct, Milton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003478785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 3011 (Alabama) | Secondary |
133V00000X | Dietitian, Registered | ND9168 (Florida) | Primary |
Provider Name | Lisa Williams Rd Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194345108 PECOS PAC ID: 1850712324 Enrollment ID: O20200609001995 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Tucker-williams, RD 7070 Milton Ct, Milton, FL 32583-5448 Ph: (850) 698-8706 | Lisa M Tucker-williams, RD 7070 Milton Ct, Milton, FL 32583-5448 Ph: (850) 698-8706 |
Mrs. Leah Weber, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5992 Berryhill Rd Ste 203, Milton, FL 32570 Phone: 850-626-5121 | |
Lisa Williams Rd Llc Dietitian Medicare: Medicare Enrolled Practice Location: 7070 Milton Ct, Milton, FL 32583 Phone: 850-698-8706 | |
Alyssa Sheedlo, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5992 Berryhill Rd Ste 201, Milton, FL 32570 Phone: 850-626-5125 | |
Mrs. Liseris Alonso, RDN,LND,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6002 Berryhill Rd, Milton, FL 32570 Phone: 850-626-5196 | |
Susan T Giannakis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6002 Berryhill Rd, Milton, FL 32570 Phone: 850-626-5196 |