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WILLIAM LEWIS-DE LOS ANGELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4471
(401) 444-7574
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1073930053
IL
208000000X
Pediatrics Physician
Primary
MD16739
RI

Other

Enumeration date
03/27/2014
Last updated
06/12/2019
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