Healthcare Provider Details

I. General information

NPI: 1760622617
Provider Name (Legal Business Name): LETITIA ANN HORRIGAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD STE E205
NORTH KINGSTOWN RI
02852-4168
US

IV. Provider business mailing address

1130 TEN ROD RD STE E205
NORTH KINGSTOWN RI
02852-4168
US

V. Phone/Fax

Practice location:
  • Phone: 401-409-2033
  • Fax: 401-289-9848
Mailing address:
  • Phone: 401-409-2033
  • Fax: 401-289-9848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO00680
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: