Individual
KATHLEEN LEFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
Mailing address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN10651
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8971849
DRIVERS LICENSE
RI
Enumeration date
12/06/2022
Last updated
12/06/2022
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