Organization
LDW GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA K WATKINS MHNP (OWNER)
(701) 471-7066
Entity
Organization
Contact information
Practice address
600 S 2ND ST, BISMARCK, ND 58504-5729
(701) 471-7066
(701) 258-0597
Mailing address
600 S 2ND ST, BISMARCK, ND 58504-5729
(701) 471-7066
(701) 258-0597
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29416
ND
Other
Enumeration date
11/02/2010
Last updated
03/04/2011
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