Individual
DR. JOSEPH ROBERT LAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12994
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001201501
RI MEDICARE
RI
01
—
07/01/2009
UNITED HEALTHCARE
RI
01
—
08/13/2009
NHPRI
RI
01
—
08/28/2009
BCBS
RI
01
—
09-22-2009
TUFTS HEALTH PLAN
MA
05
—
110082888A
—
MA
01
—
1962455022
UEMF GROUP NPI
RI
01
—
939025129
MEDICARE UEMF GROUP NUMBER
RI
05
—
JL76683
—
RI
01
—
P00775380
RR MEDICARE
RI
Enumeration date
12/11/2008
Last updated
02/12/2010
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