NPI 1013364843
Shane Lima
Practice location
- Address
- 66 Pavilion Ave, Providence, RI 02905-1522
- Phone
- (401) 461-9110
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1013364843
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 May 2016
- Record last updated
- 23 May 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.