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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356319453 NPPES
Louisiana MEDICAID 1487562

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