Individual
LALA MAMMADOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 PLAIN ST, PROVIDENCE, RI 02903-4816
(401) 793-8100
Mailing address
106 E MANNING ST, PROVIDENCE, RI 02906-4332
(401) 259-8771
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
LP06439
RI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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