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Individual

JOANNA A LANNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-3985
(401) 444-3986
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00574
RI

Other

Enumeration date
07/25/2007
Last updated
08/01/2018
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