Individual
LAURIE J GRAUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 WAMPANOAG TRL, SUITE 200, RIVERSIDE, RI 02915-1217
(401) 433-9880
(401) 433-9838
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52717
MA
208000000X
Pediatrics Physician
Primary
MD06362
RI
Other
Enumeration date
05/20/2006
Last updated
10/04/2012
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