Individual
MS. JOYCE LADNER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8143
(401) 444-6360
Mailing address
85 EBONY CT, NORTH KINGSTOWN, RI 02852-6916
(401) 294-4370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00034
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21575-6
BLUE CROSS/BLUE SHIELD
RI
01
—
410107
BLUE CHIP
RI
Enumeration date
08/15/2006
Last updated
07/08/2007
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