Provider Demographics
NPI:1790755023
Name:WILLIAMSON, LAURIE LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:LYNN
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:LYNN
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:BOX 156
Mailing Address - Street 2:US NAVAL HOSPITAL PSC 827
Mailing Address - City:FPO AE
Mailing Address - State:NY
Mailing Address - Zip Code:09617
Mailing Address - Country:US
Mailing Address - Phone:081-811-6349
Mailing Address - Fax:081-811-6479
Practice Address - Street 1:US NAVAL HOSPITAL NAPLES
Practice Address - Street 2:PSC 827
Practice Address - City:FPO AE
Practice Address - State:NY
Practice Address - Zip Code:09617
Practice Address - Country:US
Practice Address - Phone:081-811-6349
Practice Address - Fax:081-811-6479
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-068142163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator