Provider Information for 1114945110
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Dr. LENORA BLANCHE SAMPSON WILLIAMS MD
Sex: Female
NPI: 1114945110
Last Updated: 2022-07-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1114945110 | ||||||||||||||
| Enumeration Date | 2006-07-17 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1 ROYCE CIR SUITE 104 STORRS, CT 06268-2260 United States Phone: 860-487-9220 | Fax:860-487-9222 | ||||||||||||||
| Primary Practice Address | 1 ROYCE CIR SUITE 104 STORRS, CT 06268-2260 United States Phone: 860-487-9220 | Fax:860-487-9222 | ||||||||||||||
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