Individual
AUDREY IRENE LEVY-LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
935 JEFFERSON BLVD, SUITE 1002, WARWICK, RI 02886-2237
(401) 490-7530
(401) 490-7534
Mailing address
15 ENGLEWOOD RD, COVENTRY, RI 02816-5221
(401) 823-1889
(401) 272-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00052
RI
Other
Enumeration date
03/15/2007
Last updated
03/15/2012
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