Individual
LILY PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 ROYAL LITTLE DR, PROVIDENCE, RI 02904-1882
(401) 808-6693
(401) 654-5319
Mailing address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 461-5056
(401) 942-3590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD15934
RI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD15934
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467719088
—
RI
Enumeration date
04/20/2012
Last updated
07/14/2025
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