Provider Demographics
NPI:1689552879
Name:WILLIAMSON, LYNDSEY (LCOTA)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LCOTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 TULLOS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418-7534
Mailing Address - Country:US
Mailing Address - Phone:318-488-2136
Mailing Address - Fax:
Practice Address - Street 1:2301 STERLINGTON RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-3045
Practice Address - Country:US
Practice Address - Phone:318-387-7157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0TA.200064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist