Individual
MR. LENNIS EZEKIEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4200
(318) 214-9009
Mailing address
100 MELROSE AVE, APT. 1509, NATCHITOCHES, LA 71457-5939
(318) 228-9199
(318) 214-9009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00347
LA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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