Individual
NANCY LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
167 POINT ST, PROVIDENCE, RI 02903-4771
(401) 444-6966
(401) 444-5462
Mailing address
167 POINT ST, PROVIDENCE, RI 02903-4771
(401) 444-5640
(401) 444-5462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00618
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410007
HOSPITAL MEDICARE ID
RI
Enumeration date
04/10/2008
Last updated
07/16/2010
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