Individual
MS. LISA ANNE BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2 DUDLEY ST, SUITE 370, PROVIDENCE, RI 02905-3236
(401) 272-1800
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP37294
RI
Other
Enumeration date
08/22/2006
Last updated
04/15/2013
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