De Giulio, Lisa Ann

De Giulio, Lisa Ann is an individual health care provider with primary practice located at 671 Atwood Ave , Cranston RI 02920-5322. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. De Giulio, Lisa Ann can be contacted via phone (401) 421-4821.

Contact Information

Primary practice address
671 Atwood Ave Cranston RI 02920-5322
Fax: (401) 421-0928
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00431 Rhode Island

Profile Details

NPI number 1346316064
LBN Legal business name De Giulio, Lisa Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jan 16th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346316064 NPPES
Rhode Island MEDICAID 9007169
Rhode Island Other 71699
Rhode Island Other 3048
Rhode Island Other 400705

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