Provider Demographics
NPI:1598055519
Name:WATSON, LINDSAY L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:L
Last Name:WATSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 CONSTITUTION AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2907
Mailing Address - Country:US
Mailing Address - Phone:202-429-7503
Mailing Address - Fax:202-638-3793
Practice Address - Street 1:2215 CONSTITUTION AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2907
Practice Address - Country:US
Practice Address - Phone:202-429-7503
Practice Address - Fax:202-638-3793
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210227183500000X
NJ28RI03383500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist