Lisa Williams Travis
Technician, Other in Newport News, VA. Individual provider (NPI-1).
NPI number1548838022
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1548838022
- Entity type
- Individual (NPI-1)
- Name
- Lisa Williams Travis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
11835 Fishing Point DrNewport News, VA 23606-2584
Phone 757-243-1033
Mailing address
225 Citizens LnNewport News, VA 23602-3711
Phone 757-633-5183
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