Individual
LAUREN COURNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8704
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5180
(401) 444-6681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP04983
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/08/2020
Last updated
05/19/2020
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