MEDICARE: LAUREN DOUGLASS WATSON PT

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	2251N0400X	Neurology Physical Therapist	TN 2129	TN

General Provider Information

NPI Number	:	1780863431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN DOUGLASS WATSON PT

Provider Business Mailing Address
First Line	:	2754 BROYLES LN
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-7095
Country	:	US
Telephone Number	:	615-430-0340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2754 BROYLES LN
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069
Country	:	US
Telephone Number	:	615-430-0340
Fax Number	:

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

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	08/20/2010

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