Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA RENEE WATERMAN, D.O.
DeactivatedDR. LISA RENEE WATERMAN, D.O. is a Obstetrics & Gynecology healthcare provider located in SPRINGDALE, Arkansas. NPI 1467455808 is deactivated in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · SPRINGDALE, AR
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1467455808
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2005 (0.8027397260274 yrs)
- Last Updated
- Feb 14, 2025
- Deactivated
- Mar 20, 2006
- License
-
E-18839 (AR)
Practice Information
- Address
-
5501 WILLOW CREEK DR STE 203SPRINGDALE, AR, 727628708Browse AR providers · Browse ZIP 72762
- Phone
- 4797575552
- Fax
- 4797572942
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in SPRINGDALE, AR
| Name | Credential | NPI |
|---|---|---|
| MICHAEL P CLOUATRE | MD | 1497756415 |
| KENT A MASON | MD | 1255332276 |
| DANIEL GREGORY REITER | DO | 1245231943 |
| DARRIN D CUNNINGHAM | DO | 1548262306 |
| DR. HEATHER ANN MARTINELLI | MD | 1427016310 |
| DR. ASHLEY ERIN MASON | M.D. | 1871735100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.