Individual
MS. GIANA N LEWIS-FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1054 CASS AVE, WOONSOCKET, RI 02895-4935
(401) 389-2727
(401) 389-2727
Mailing address
1054 CASS AVE, WOONSOCKET, RI 02895-4935
(401) 767-3600
(401) 767-3013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00615
RI
Other
Enumeration date
02/08/2012
Last updated
01/31/2022
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