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

Lawrence Joseph Waters, PA-C

Individual provider Surgical Physician Assistant · NPI 1386783017

Lawrence Joseph Waters, PA-C is a Physician Assistant in Upper Marlboro, Maryland. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
20
Licensed in
MD
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Mercantile Ln
Upper Marlboro, MD 20774-5374
Phone: (301) 618-5500
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C0003373 (MD)

Record details

NPI number1386783017
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJanuary 6, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare