Individual
SUSAN LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
575 FOUNTAIN ST, PAWTUCKET, RI 02860-1246
(401) 724-0535
(401) 722-4006
Mailing address
575 FOUNTAIN ST, PAWTUCKET, RI 02860-1246
(401) 724-0535
(401) 722-4006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN16932
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL11739
—
RI
Enumeration date
09/19/2007
Last updated
09/19/2007
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