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Individual

CARISSA LOVE LUCIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2 MEEHAN LN, CUMBERLAND, RI 02864-1413
(401) 658-2525
Mailing address
549 MATTAKEESETT ST APT C, PEMBROKE, MA 02359-2943
(781) 361-3061

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03154
RI

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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