Individual
LASAUNDRA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5636 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 632-5700
(719) 260-1821
Mailing address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 630-6444
(719) 228-6609
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
29978
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13576780
—
CO
Enumeration date
10/15/2006
Last updated
05/16/2008
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