Individual
LAURA J HENSELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 W RIVER ST # 11A, PROVIDENCE, RI 02904-2609
(401) 793-8770
(401) 793-8709
Mailing address
3461 S COUNTY TRL, EAST GREENWICH, RI 02818-1465
(401) 471-6760
(401) 471-6765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10303
RI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD10303
RI
2084P0800X
Psychiatry Physician
MD10303
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
RI
Enumeration date
04/05/2006
Last updated
11/18/2024
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