Provider Demographics
NPI:1124176938
Name:WILLIAMSON, LINETTE FAYE (MD)
Entity type:Individual
Prefix:
First Name:LINETTE
Middle Name:FAYE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 N EL CAMINO REAL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5821
Mailing Address - Country:US
Mailing Address - Phone:760-436-5000
Mailing Address - Fax:760-436-9700
Practice Address - Street 1:227 N EL CAMINO REAL
Practice Address - Street 2:SUITE 106
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5821
Practice Address - Country:US
Practice Address - Phone:760-436-5000
Practice Address - Fax:760-436-9700
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83666207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine