MEDICARE: DR. LAUREN ELIZABETH WATSON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12011371A	IN
2	1223G0001X	General Practice Dentistry	8707	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417280132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ELIZABETH WATSON DMD

Provider Business Mailing Address
First Line	:	4980 BRIDGEWOOD RD
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-4676
Country	:	US
Telephone Number	:	270-823-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 N BURKHARDT RD STE A
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-7296
Country	:	US
Telephone Number	:	812-475-2880
Fax Number	:	812-475-3002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	03/25/2026

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