Individual
LEWIS WATSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 ELAM RD, PAMPLIN, VA 23958-3242
(434) 574-2247
(434) 574-2028
Mailing address
281 ELAM RD, PAMPLIN, VA 23958-3242
(434) 574-2247
(434) 574-2028
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T25036828
VA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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