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Individual
DR. LISA JAYNE WATTERS
Active
Individual
DR. LISA JAYNE WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003169L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC003169L
PA
213ER0200X
Radiology Podiatrist
SC003169L
PA
213ES0000X
Sports Medicine Podiatrist
SC003169L
PA
213ES0131X
Foot Surgery Podiatrist
SC003169L
PA
Other
Enumeration date
09/12/2005
Last updated
10/16/2013
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