Lisa M. Watson

Nurse Practitioner · Pontiac, IL

Individual Active NPI

NPI number 1982797254

Practice location

1506 W Reynolds St
Pontiac, IL 61764
Phone
(815) 844-6123
Fax
(815) 844-7851

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NPI record

NPI
1982797254
Entity type
Individual (Type 1)
Enumeration date
October 1, 2006
Last updated
February 28, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 041217560/209002332 IL

About Lisa Watson

Lisa M. Watson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1506 W Reynolds St, Pontiac, IL 61764. The NPI number 1982797254 was assigned on October 1, 2006 and the record was last updated on February 28, 2011.

Lisa Watson lists a license in the registry: #041217560/209002332 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa M. Watson?

The NPI number is 1982797254.

What is the phone number of Lisa Watson?

The phone number listed for the practice location is (815) 844-6123.

Where is Lisa Watson located?

1506 W Reynolds St, Pontiac, IL 61764.

What is the taxonomy code for Lisa Watson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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