Individual
BRIAN B LAFAUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2756 POST RD, WARWICK, RI 02886-3003
(401) 691-6000
(401) 738-7718
Mailing address
116 LONG ST, WARWICK, RI 02886-7726
(401) 732-1540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
163
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163
RICOUNSELOR CERTIFICATION
RI
Enumeration date
11/19/2007
Last updated
11/19/2007
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