Healthcare Provider Details

I. General information

NPI: 1285720037
Provider Name (Legal Business Name): LOIS LAZZOPINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE CVS DRIVE
WOONSOCKET RI
02895
US

IV. Provider business mailing address

ONE CVS DRIVE
WOONSOCKET RI
02895
US

V. Phone/Fax

Practice location:
  • Phone: 401-770-2500
  • Fax: 401-652-1125
Mailing address:
  • Phone:
  • Fax: 401-652-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP503752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: