Individual
LORI A MALLOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN. AE-C
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4321
(401) 456-4369
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN08585
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN08585
LICENSE NUMBER
RI
Enumeration date
10/01/2013
Last updated
10/01/2013
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