Individual
ERIKA LANE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DEAFR4639829606
RI
2085R0202X
Diagnostic Radiology Physician
084566
CT
2085R0202X
Diagnostic Radiology Physician
Primary
LP05105
RI
Other
Enumeration date
07/10/2020
Last updated
05/14/2026
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