Individual
LYMAN A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 SOCKANOSSET CROSSROADS, CRANSTON, RI 02920-6068
(401) 943-1454
(401) 943-1140
Mailing address
6725 POST RD, NORTH KINGSTOWN, RI 02852-1838
(401) 886-4830
(401) 886-6184
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD04185
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000960
—
RI
Enumeration date
10/26/2005
Last updated
10/10/2007
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