Williamson, Larrie Ann
Williamson, Larrie Ann is an sole proprietor health care provider with primary practice located at 1002 Highland Ave Suite 201, Shreveport LA 71101-4143. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Williamson, Larrie Ann can be contacted via phone (318) 675-1300.Contact Information
Primary practice address
1002 Highland Ave Suite 201
Shreveport LA 71101-4143
Phone: (318) 675-1300
Fax: (318) 675-1301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 023926 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD.023926 | Louisiana |
Profile Details
| NPI number | 1356319453 |
|---|---|
| LBN Legal business name | Williamson, Larrie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356319453 | NPPES |
| Louisiana | MEDICAID | 1487562 |
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