MRS. Octavia Keisha Lusane-williams, RN is a clinical laboratory director and non-physician pathology in Macon, GA. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. MRS. Octavia Keisha Lusane-williams, RN NPI is 1295464881. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
625 CRABAPPLE PL
MACON, GA
ZIP 31217-575
Phone: (478) 227-2799
Fax: (478) 312-9740
The enumeration date for this NPI number is 6/8/2022 and was last updated on 6/8/2022.