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Tamra Lavoie
Specialist in Providence, Rhode Island
NPI 1053656280

Tamra Lavoie is a Specialist based in Pawtucket, RI. Tamra Lavoie practices in Providence, RI. The NPI Number for Tamra Lavoie is 1053656280 and holds a License No. OT00417 (Rhode Island).

The current practice location address for Tamra Lavoie is 455 Douglas Ave, Providence, RI and can be reached out via phone at 401-553-8600.

Location: 455 Douglas Ave, Providence, RI, 02860-5939
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Provider Profile Details
NPI Number
1053656280
Provider Name
Tamra Lavoie
Credential
Provider Entity Type
Individual
Gender
Female
Address
455 Douglas Ave, Providence, RI, 02860-5939
Phone Number
401-553-8600
Fax Number
Provider Enumeration Date
11/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OT00417 01 RI STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
455 Douglas Ave
City
State
Zip
02908-2542
Phone Number
401-553-8600
Fax Number
person
Provider Business Mailing Address Details
Address
455 Douglas Ave
City
State
Zip
02908-2542
Phone Number
401-553-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
OT00417 (Rhode Island)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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