Individual
MR. RUSSELL LENIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
46 WELLS STREET, WESTERLY, RI 02891
(401) 596-0174
(401) 596-2266
Mailing address
46 WELLS STREET, WESTERLY, RI 02891
(401) 596-0174
(401) 596-2266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00075
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00075
RI LICENSE
—
Enumeration date
08/15/2006
Last updated
10/03/2007
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