Individual
ELYSSA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
2173 IROQUOIS RD, OKEMOS, MI 48864-1011
(616) 490-3221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011987
MI
Other
Enumeration date
08/21/2023
Last updated
09/27/2023
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