Individual
SUSAN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 TOWN FARM RD, COVENTRY, RI 02816-5126
(401) 556-7353
Mailing address
332 TOWN FARM RD, COVENTRY, RI 02816-5126
(401) 556-7353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
RI
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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