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Individual

LAUREN FRANCES ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
134 THURBERS AVE # 220A, SUITE 220A, PROVIDENCE, RI 02905-4754
(401) 270-9991
Mailing address
117 CUMBERLAND ST, CUMBERLAND, RI 02864-7415

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA00662
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA00662
COTA
RI
Enumeration date
09/04/2013
Last updated
09/04/2013
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