Individual
DR. LISA LOVAS BAKHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L-221687
MA
208000000X
Pediatrics Physician
Primary
MD12383
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059893
MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
07282008
BCBSRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
12292008
TUFTS
RI
01
—
1902932767
NPI
RI
01
—
1962455022
UEMF GROUP NPI
RI
01
—
2146533
MA MEDICAID
MA
01
—
939025129
UEMF GROUP RI MEDICARE
RI
05
—
LB69118
—
RI
Enumeration date
02/26/2007
Last updated
02/05/2010
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