Flavin, Lila Mae

Flavin, Lila Mae is an sole proprietor health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Flavin, Lila Mae can be contacted via phone (401) 444-3830.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-3830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 308079 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X CMD19213 Rhode Island

Profile Details

NPI number 1508421504
LBN Legal business name Flavin, Lila Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2019
Last updated Jun 27th, 2023 - about 2 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 1508421504 NPPES
Other NA NO OTHER IDENTIFIERS

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