Individual
LAURIE JEAN LAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 884-7582
(401) 456-3621
Mailing address
1993 MIDDLE RD, EAST GREENWICH, RI 02818-1107
(401) 884-7582
(401) 456-3621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN00170
RI
367500000X
Certified Registered Nurse Anesthetist
RNA36552
RI
Other
Enumeration date
04/06/2007
Last updated
11/15/2022
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