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Individual

LAURA HAYES MCPEAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-119381
IL
207P00000X
Emergency Medicine Physician
LP00512
RI
207P00000X
Emergency Medicine Physician
Primary
MD12955
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001189101
MEDICARE
RI
01
04-15-2009
UNITED HEALTHCARE
RI
01
08-13-2009
NHPRI
RI
01
09-22-2009
TUFTS HEALTH PLAN
MA
01
1336346386
NPI
RI
01
1962455022
GROUP NPI
RI
01
939025129
GROUP RI MEDICARE
RI
05
LM76188
RI
01
P00775372
RR MEDICARE
RI
Enumeration date
07/02/2007
Last updated
02/04/2010
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