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NPI Code Detail

MEDICARE: DR. LYNNETTE M WATKINS MD

MEDICARE:  DR. LYNNETTE M WATKINS  MD
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
1207W00000XOphthalmology Physician01058465IN

Other Identifiers

General Provider Information

NPI Number : 1770566028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNNETTE M WATKINS MD
Provider Business Mailing Address
First Line : 200 N TILLOTSON AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-3988
Country : US
Telephone Number : 765-286-8888
Fax Number : 765-747-7962
Provider Business Practice Location Address
First Line : 200 N TILLOTSON AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-3988
Country : US
Telephone Number : 765-286-8888
Fax Number : 765-747-7962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 12/27/2010

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Directions to “ DR. LYNNETTE M WATKINS MD” Practice Location

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