Individual
LAWRENCE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
154855
MA
2085R0202X
Diagnostic Radiology Physician
8653
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD08653
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007005846
HOSPITALPIN
—
01
—
008653
BLUESHIELD
—
01
—
16-00203
UNITEDHEALTHPLANS
—
01
—
1988
NHPRI
—
01
—
241361
RIHPILGRIM
—
01
—
300072587
RAILROAD MEDICARE
—
01
—
3200361
HEALTHYSTART
—
01
—
400990
BLUECHIP
—
01
—
7005839
RIMEDICALASSISTANCE
—
01
—
720055401
CIGNA
—
Enumeration date
10/13/2005
Last updated
07/26/2024
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