Basic Information
| Provider Information | |||||||||
| NPI: | 1336790963 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | LORILEA | ||||||||
| MiddleName: | PAIGE | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 37346 PASEO TULIPA | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925633702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6015297054 | ||||||||
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| Practice Location | |||||||||
| Address1: | APEX MEDICAL GROUP | ||||||||
| Address2: | 890 WEST STETSON AVE # B | ||||||||
| City: | HEMET | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92543 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516522811 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2019 | ||||||||
| LastUpdateDate: | 09/27/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 95012747 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.