Provider Demographics
NPI:1942657754
Name:WATKINS, LOIS ASHLEY (CPM)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ASHLEY
Last Name:WATKINS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 LONGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2218
Mailing Address - Country:US
Mailing Address - Phone:347-781-0178
Mailing Address - Fax:
Practice Address - Street 1:2016 LONGWOOD RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2218
Practice Address - Country:US
Practice Address - Phone:347-781-0178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-21
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife