Individual
MRS. LUCILLE ELLEN PLASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 OLD GREAT ROAD, LINCOLN, RI 02865
(401) 766-1526
Mailing address
19 OLD GREAT ROAD, LINCOLN, RI 02865
(401) 766-1526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN29700
RI
225700000X
Massage Therapist
Primary
MT01308
RI
Other
Enumeration date
02/20/2017
Last updated
03/08/2017
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