Individual
LUCIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4090
(401) 649-4091
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08980
RI
207RB0002X
Obesity Medicine (Internal Medicine) Physician
MD08980
RI
Other
Enumeration date
07/08/2006
Last updated
02/29/2024
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