Individual
LORI B BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Mailing address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RIOD438
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004621
BLUE CHIP
RI
01
—
0859
NHP RI GROUP #
RI
01
—
2200287
UNITED
RI
01
—
26587
RI BLUE SHIELD
RI
01
—
2824
NEIGHBORHOOD RI
RI
01
—
410040028
RAILROAD MEDICARE
RI
01
—
5058609
AETNA
RI
01
—
603940
TUFTS GROUP #
RI
05
—
7003033
—
RI
01
—
773061
TUFTS
RI
05
—
9001520
—
RI
01
—
9210534
CIGNA
RI
01
—
AA3297
HARVARD
RI
Enumeration date
12/22/2005
Last updated
05/03/2012
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