Individual
LISA MARIE FRAPPIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
250 WAMPANOAG TRL, SUITE 202, RIVERSIDE, RI 02915
(401) 435-0044
(844) 278-9690
Mailing address
250 WAMPANOAG TRL, SUITE 202, RIVERSIDE, RI 02915-2218
(401) 435-0044
(401) 276-3939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO 0429
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059467
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
220877
PILGRAM
RI
01
—
23931-4
BLUE CROSS
RI
01
—
402027
BLUECHIP
RI
05
—
7003386
—
RI
01
—
IP005419
MAGELLAN
RI
Enumeration date
07/12/2005
Last updated
05/17/2018
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