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MRS. OCTAVIA KEISHA LUSANE-WILLIAMS RN
NPI 1295464881
Pathology - Clinical Laboratory Director, Non-physician in Macon, GA

Active since June 08, 2022
625 CRABAPPLE PL, MACON, GA 31217(478) 227-2799(478) 312-9740 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Octavia Keisha Lusane-williams Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. OCTAVIA KEISHA LUSANE-WILLIAMS RN (NPI 1295464881) is an individual clinical laboratory director, non-physician in Macon, Georgia and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1295464881
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameMRS. OCTAVIA KEISHA LUSANE-WILLIAMSCredential: RN
Location Address625 CRABAPPLE PLMacon, GA 31217-5575
Mailing AddressPo Box 156Dry Branch, GA 31020-0156 · (478) 227-2799 · Fax (478) 312-9740
Phone(478) 227-2799
Fax(478) 312-9740
Sole ProprietorNo
Enumeration DateJune 8, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1295464881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN231748 (GA)
625 CRABAPPLE PL, Macon, GA 31217
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Lusane-williams's NPI number?

The NPI number for Octavia Lusane-williams is 1295464881. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Octavia Lusane-williams located?

Octavia Lusane-williams practices at 625 Crabapple Pl, Macon, GA 31217. The listed phone number is (478) 227-2799.

What is Octavia Lusane-williams's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Octavia Lusane-williams was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.