LUCAS JOHN SMITH

PROVIDENCE, RI
NPI1295583607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06296)
Enumeration Date2024-05-09
Last Update Date2024-05-09
Business Address
LUCAS JOHN SMITH MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2930
Mailing Address
LUCAS JOHN SMITH MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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