Individual
STACEY PECKHAM LIEVENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 SCHOOL ST, SUITE 200, PAWTUCKET, RI 02860-5334
(401) 724-0600
(401) 724-8306
Mailing address
333 SCHOOL ST, SUITE 200, PAWTUCKET, RI 02860-5334
(401) 724-0600
(401) 724-8306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD12440
RI
Other
Enumeration date
08/01/2007
Last updated
03/30/2021
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