Individual
DR. LARRIE ANN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1002 HIGHLAND AVE, SUITE 201, SHREVEPORT, LA 71101-4143
(318) 675-1300
(318) 675-1301
Mailing address
1002 HIGHLAND AVE, SHREVEPORT, LA 71101-4143
(318) 675-1300
(318) 675-1301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
023926
LA
2084P0800X
Psychiatry Physician
Primary
MD.023926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487562
—
LA
Enumeration date
03/14/2006
Last updated
01/29/2020
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