Individual
LOREE K KALLIAINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 PLAIN ST STE 203, PROVIDENCE, RI 02905
(401) 444-2701
(401) 444-2740
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
46572
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD16486
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430075100
—
MN
Enumeration date
02/27/2006
Last updated
11/30/2018
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