Individual
LYANNE MARIE SANTANA KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BROOKLINE PL STE 230, BROOKLINE, MA 02445-7224
(401) 456-2000
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CLP05469
RI
207R00000X
Internal Medicine Physician
MD21078
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
3015628
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD21078
RI
Other
Enumeration date
07/28/2021
Last updated
04/28/2026
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