Individual
LEANNE LLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, APC 6, PROVIDENCE, RI 02903-4923
(401) 793-9169
(401) 444-2761
Mailing address
593 EDDY ST, APC 6, PROVIDENCE, RI 02903-4923
(401) 793-9169
(401) 444-2761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA051330
PA
363AS0400X
Surgical Physician Assistant
Primary
PA00713
RI
Other
Enumeration date
08/18/2006
Last updated
05/12/2014
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