Individual
DR. LAUREN WASHATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
Mailing address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70506
AZ
208000000X
Pediatrics Physician
70506
AZ
Other
Enumeration date
04/16/2019
Last updated
07/31/2023
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