Individual
AMY LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 QUAKER LN, WEST WARWICK, RI 02893-2159
(401) 304-5469
Mailing address
565 QUAKER LN, WEST WARWICK, RI 02893-2159
(401) 304-5469
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHL06145
RI
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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