| Lisa Williams Rd Llc | |
|
7070 Milton Ct, Milton, FL 32583-5448 | |
| (850) 698-8706 | |
| Not Available |
| Full Name | Lisa Williams Rd Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 7070 Milton Ct, Milton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194345108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Lisa M Tucker-williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003478785 PECOS PAC ID: 4587085055 Enrollment ID: I20200609002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Williams Rd Llc 7070 Milton Ct, Milton, FL 32583-5448 Ph: (850) 698-8706 | Lisa Williams Rd Llc 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 M Tucker-williams, RD 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 |