Individual
LYDIA GRACE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 445-1117
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 445-1117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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