Individual
LAUREN GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 02905-5443
(401) 444-3201
Mailing address
765 ALLENS AVE, SUITE 110, PROVIDENCE, RI 02905-5443
(401) 444-3201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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