Individual
TAYLOR LYNN REALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 VETERANS MEMORIAL PKWY BLDG 6, EAST PROVIDENCE, RI 02914-5300
(401) 435-5533
Mailing address
500 MENDON RD UNIT 46, CUMBERLAND, RI 02864-6234
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/02/2024
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