Individual
TAMRA LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 DOUGLAS AVE, PROVIDENCE, RI 02908-2542
(401) 553-8600
Mailing address
222 GLENWOOD AVE, PAWTUCKET, RI 02860-5939
(401) 724-8299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00417
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00417
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH
RI
Enumeration date
11/28/2012
Last updated
11/28/2012
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