Individual
DR. LYNNETTE M WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 286-8888
(765) 747-7962
Mailing address
200 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 286-8888
(765) 747-7962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01058465
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200465260
—
IN
05
—
2489829
—
OH
Enumeration date
11/21/2005
Last updated
12/27/2010
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