Individual
LEE WHITMORE ESCHENROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 WARREN AVE STE 201, EAST PROVIDENCE, RI 02914-1432
(401) 606-1004
(401) 606-1153
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60977125
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD20034
RI
208M00000X
Hospitalist Physician
MD60977125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083663
—
WA
Enumeration date
04/18/2017
Last updated
08/15/2024
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