Lariosa, Diosita Watin

Lariosa, Diosita Watin is an sole proprietor health care provider with primary practice located at 513 W 2Nd Ave , Albany GA 31701-2204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Lariosa, Diosita Watin can be contacted via phone (229) 432-7444.

Contact Information

Primary practice address
513 W 2Nd Ave Albany GA 31701-2204
Phone: (229) 432-7444
Fax: (229) 432-7445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 21325 Georgia

Profile Details

NPI number 1336285691
LBN Legal business name Lariosa, Diosita Watin
Credentials M.D.,P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Apr 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336285691 NPPES
Georgia Other 000236959A PEACHSTATE MEDICAID
Georgia Other 336022 PEACHSTATE MEDICAID
Georgia MEDICAID 000236959A PEACHSTATE MEDICAID

Popular Providers