Individual
LYNNE A BISBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6689
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4829
(401) 455-6200
(401) 455-6689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00080
RI
363A00000X
Physician Assistant
PA245
MA
Other
Enumeration date
06/02/2005
Last updated
10/24/2023
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