Individual
LAURA A. STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, FAIN BLDG., 2B, PROVIDENCE, RI 02906-2853
(401) 793-4300
(401) 793-4312
Mailing address
164 SUMMIT AVE, FAIN BLDG., 2B, PROVIDENCE, RI 02906-2853
(401) 793-4300
(401) 793-4312
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13345
RI
2084P0805X
Geriatric Psychiatry Physician
MD13345
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LS86242
—
RI
01
—
MD13345
PROFESSIONAL LICENSE
RI
Enumeration date
06/19/2007
Last updated
03/07/2013
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