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Mrs. OCTAVIA KEISHA LUSANE-WILLIAMS RN

Individual Provider (NPI-1) Active

Pathology, Clinical Laboratory Director, Non-physician

Provider Information

NPI Number
1295464881
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
625 CRABAPPLE PL, MACON, GA, 312175575
Phone
(478) 227-2799
Fax
(478) 312-9740

Specialties & Taxonomies

Registered Nurse License: GA #RN231748
Pathology, Clinical Laboratory Director, Non-physician Primary

All Addresses

MAILING

PO BOX 156

DRY BRANCH, GA, 310200156

(478) 227-2799

LOCATION

625 CRABAPPLE PL

MACON, GA, 312175575

(478) 227-2799