Individual
LEE DISALVIA MCWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 785-2666
Mailing address
25 PHILLIPS RD, EAST GREENWICH, RI 02818-3439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-0512073
—
RI
05
—
RI56852
—
RI
Enumeration date
10/24/2016
Last updated
10/24/2016
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