Individual
MARY ELIZABETH WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3084 LAKECREST CIR STE 100, LEXINGTON, KY 40513-1972
(859) 639-1210
(859) 639-1211
Mailing address
3084 LAKECREST CIR STE 100, LEXINGTON, KY 40513-1972
(859) 639-1210
(859) 639-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09539
NC
363A00000X
Physician Assistant
Primary
PA3372
KY
Other
Enumeration date
05/01/2019
Last updated
05/21/2026
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