Individual
LUCILLE C VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
962 WARWICK AVENUE, WARWICK, RI 02888
(401) 383-7830
(401) 270-1165
Mailing address
962 WARWICK AVENUE, WARWICK, RI 02888
(401) 383-7830
(401) 270-1165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10293
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103090
UNITED HEALTH CARE
RI
01
—
217031
BLUE CROSS
RI
05
—
9022178
—
RI
Enumeration date
10/28/2006
Last updated
11/18/2007
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