Individual
LISA M. WATSON
Active
Individual
LISA M. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
539674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138298811
—
TX
05
—
138298812
—
TX
05
—
138298813
—
TX
05
—
138298814
—
TX
05
—
138298815
—
TX
05
—
138298816
—
TX
05
—
138298817
—
TX
05
—
138298818
—
TX
05
—
138298819
—
TX
05
—
138298820
—
TX
01
—
8Y2913
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/28/2006
Last updated
03/06/2009
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