Individual
LAURIE M BEAUREGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ETTA ST, WARWICK, RI 02889-1010
(401) 699-1084
Mailing address
4 ETTA ST, WARWICK, RI 02889-1010
(401) 699-1084
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
RAD1516
RI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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