Provider Demographics
NPI:1437451499
Name:WILLIAMS, LEANN ARLEEN (MD)
Entity type:Individual
Prefix:
First Name:LEANN
Middle Name:ARLEEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEANN
Other - Middle Name:ARLEEN
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:600 CORPORATE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-2107
Mailing Address - Country:US
Mailing Address - Phone:949-328-1837
Mailing Address - Fax:949-328-1838
Practice Address - Street 1:600 CORPORATE DR STE 110
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2107
Practice Address - Country:US
Practice Address - Phone:949-328-1837
Practice Address - Fax:949-328-1838
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114783208000000X
AZ46402208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics