Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD13581 | RI |
NPI | 1255548244 |
---|---|
Provider Name | Dr. Kerri L Luzzo |
First Address | Providence, RI 02905-4754 |
Second Address | Providence, RI 02905-4754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 11/08/2011 |