Individual
LISA LAPACHELLE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 BUTLER DR, PROVIDENCE, RI 02906-4862
(401) 729-2800
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00175
RI
Other
Enumeration date
06/27/2006
Last updated
07/19/2023
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