Cannistra, Lauralyn B.
Cannistra, Lauralyn B. is an individual health care provider with primary practice located at 131 Beechwood Avenue , Pawtucket RI 02860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Cannistra, Lauralyn B. can be contacted via phone (401) 475-1999.Contact Information
Primary practice address
131 Beechwood Avenue
Pawtucket RI 02860
Phone: (401) 475-1999
Fax: (401) 475-6932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 75195 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD08607 | Rhode Island |
Profile Details
| NPI number | 1467413898 |
|---|---|
| LBN Legal business name | Cannistra, Lauralyn B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467413898 | NPPES |
| Rhode Island | Other | 007057418 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 9006817 | MEDICARE PTAN |
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