MRS. OCTAVIA KEISHA LUSANE-WILLIAMS RN NPI 1295464881

NPI Information

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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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