Individual
LISA LYNN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
747 E COUNTY LINE RD STE G, GREENWOOD, IN 46143-1082
(317) 856-7337
(317) 856-7363
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71003010A
IN
Other
Enumeration date
08/24/2009
Last updated
04/22/2024
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