Individual
DR. LISA SHAREE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5500 WISSAHICKON AVE, APT. M710C, PHILADELPHIA, PA 19144
(202) 306-2233
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-1519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT189115
PA
Other
Enumeration date
05/02/2007
Last updated
11/22/2021
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