Individual provider · Type 1 NPI

Lawrence Joseph Waters, PA-C

Surgical Physician Assistant · Upper Marlboro, MD

NPI number 1386783017 Active

Practice location

1221 Mercantile Ln
Upper Marlboro, MD 20774-5374

Mailing address

2628 Monroe St NE
Washington, DC 20018-2918

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0003373 (MD)

Surgical Physician Assistant: Definition to come...

211 other providers at this address

About NPI 1386783017

Lawrence Joseph Waters, PA-C's National Provider Identifier is 1386783017, issued on Feb 6, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jan 6, 2012.