Healthcare Provider Details

I. General information

NPI: 1619975802
Provider Name (Legal Business Name): LISA MARIE FRAPPIER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 WAMPANOAG TRL SUITE 202
RIVERSIDE RI
02915
US

IV. Provider business mailing address

250 WAMPANOAG TRL SUITE 202
RIVERSIDE RI
02915-2218
US

V. Phone/Fax

Practice location:
  • Phone: 401-435-0044
  • Fax: 844-278-9690
Mailing address:
  • Phone: 401-435-0044
  • Fax: 401-276-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO 0429
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: