Latisha Williamson, - Pathology in San Jacinto, CA

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Latisha Williamson, is a Pathology - Clinical Pathology physician based in San Jacinto, California. Latisha Williamson is licensed to practice in Arizona (license number D07298637) and her current practice location is 1187 Newberg Cmns, San Jacinto, California. She can be reached at her office (for appointments etc.) via phone at (702) 937-5694.

NPI number for Latisha Williamson is 1730870130 and her current mailing address is 1187 Newberg Cmns, San Jacinto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730870130.

Contact Information

Latisha Williamson,
1187 Newberg Cmns,
San Jacinto, CA 92582-4299
(702) 937-5694
Not Available

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Physician's Profile

Full NameLatisha Williamson
GenderFemale
SpecialityPathology - Clinical Pathology
Location1187 Newberg Cmns, San Jacinto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730870130
  • Provider Enumeration Date: 05/16/2023
  • Last Update Date: 05/16/2023

Medical Identifiers

Medical identifiers for Latisha Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730870130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0006XPathology - Clinical Pathology D07298637 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latisha Williamson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latisha Williamson,
1187 Newberg Cmns,
San Jacinto, CA 92582-4299

Ph: (702) 937-5694		Latisha Williamson,
1187 Newberg Cmns,
San Jacinto, CA 92582-4299

Ph: (702) 937-5694

Reviews and Comments


Pathology Doctors in San Jacinto, CA


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