Individual
LAURA LYNN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-4000
(401) 427-7795
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD12061
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD12061
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058626
MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
1174566806
NPI
—
01
—
12/29/2008
TUFTS
RI
05
—
2103508
—
MA
01
—
413453
BCBSRI
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
—
05
—
LC57472
—
RI
Enumeration date
06/13/2006
Last updated
08/21/2018
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