Individual
LOTHEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 N MAIN STREET, GROVER, NC 28073
(704) 267-1069
(980) 276-1795
Mailing address
468 EDDLEMAN RD, KANNAPOLIS, NC 28083-6117
(704) 856-9467
(980) 276-1795
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
12/08/2025
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