Healthcare Provider Details

I. General information

NPI: 1558619536
Provider Name (Legal Business Name): LAUREN ANN LEVANDUSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ANN CHIPPONERI LAUREN ANN CHIPPONER

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 POST RD STE 203
WESTERLY RI
02891-6601
US

IV. Provider business mailing address

PO BOX 229
WAKEFIELD RI
02880-0229
US

V. Phone/Fax

Practice location:
  • Phone: 401-604-2530
  • Fax: 401-604-2560
Mailing address:
  • Phone: 401-788-8757
  • Fax: 401-782-9867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN04747
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9383489
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704316428
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: