Individual
MR. RYAN MICHAEL LAFERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2000
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00906
RI
363A00000X
Physician Assistant
PA6584
MA
Other
Enumeration date
08/04/2016
Last updated
06/06/2024
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