Individual
LORRIE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MAIN STREET, PAWTUCKET, RI 02860
(401) 475-0636
Mailing address
460 PINE ST, PROVIDENCE, RI 02907-1358
(617) 579-7667
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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