NPI 1053656280

Tamra Lavoie

Practitioner Specialist Providence, RI

Practice location

Address: 455 Douglas Ave, Providence, RI 02908-2542
Phone: (401) 553-8600
Mailing address: 222 Glenwood Ave, Pawtucket, RI 02860-5939

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT00417 (RI)

Other Specialist providers in Rhode Island →

Registry record

NPI: 1053656280
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2012
Record last updated: 28 Nov 2012

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.