Individual
LENITA ROCHELL WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2116 E ORANGEBURG AVE, STE A, MODESTO, CA 95355
(209) 577-1411
(209) 577-1236
Mailing address
2401 E ORANGEBURG AVE PMB374, STE 675, MODESTO, CA 95355
(209) 577-1411
(209) 577-1236
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G76941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G769410
—
CA
Enumeration date
06/09/2006
Last updated
07/08/2007
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