Individual
LISA M KARANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
(401) 552-3535
(401) 719-8873
Mailing address
166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
(401) 552-3535
(401) 719-8873
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
PMV355
RI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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