Individual
MISS LARISA ENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RN
Contact information
Practice address
152 UNIVERSITY AVE, PROVIDENCE, RI 02906-4514
(401) 450-4588
Mailing address
152 UNIVERSITY AVE, PROVIDENCE, RI 02906-4514
(401) 450-4588
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
LLC00111
RI
Other
Enumeration date
08/25/2025
Last updated
04/03/2026
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