Individual
LYDIA ANN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2756
(517) 364-2735
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-2756
(517) 364-2735
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704237993
MI
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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