Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Watertown Physician Practices LLC

Organization Family Medicine Physician · NPI 1770964363

Watertown Physician Practices LLC is a Family Medicine Physician in Watertown, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1507 Doctors Ct
Watertown, WI 53094-4101
Phone: (920) 261-4111
Fax: (920) 261-8387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1770964363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
NPI enumeratedJune 9, 2015
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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