Individual
DR. LAWRENCE BERNARD WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3433 AGLER RD, SUITE 1300, COLUMBUS, OH 43219-3387
(614) 755-9194
(614) 476-8748
Mailing address
6335 ALISSA LN, COLUMBUS, OH 43213-3456
(614) 755-9194
(614) 755-9846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35046248W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534916
—
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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