Provider Demographics
NPI:1427545714
Name:WILLIAMSON, LYNDA (MED)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WILLIAMSON LN
Mailing Address - Street 2:
Mailing Address - City:CANADA
Mailing Address - State:KY
Mailing Address - Zip Code:41519-8269
Mailing Address - Country:US
Mailing Address - Phone:865-399-3253
Mailing Address - Fax:
Practice Address - Street 1:33 WILLIAMSON LN
Practice Address - Street 2:
Practice Address - City:CANADA
Practice Address - State:KY
Practice Address - Zip Code:41519-8269
Practice Address - Country:US
Practice Address - Phone:865-399-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency