Provider Demographics
NPI:1710616602
Name:WATSON, LONA LIN (MSN, CRNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:LONA
Middle Name:LIN
Last Name:WATSON
Suffix:
Gender:F
Credentials:MSN, CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S PALM ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5848
Mailing Address - Country:US
Mailing Address - Phone:724-747-5633
Mailing Address - Fax:
Practice Address - Street 1:523 S PALM ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5848
Practice Address - Country:US
Practice Address - Phone:724-747-5633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025634207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine