Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 224381 | MA |
N | 208000000X | Pediatrician | 224381 | MA |
N | 208000000X | Pediatrician | MD15944 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD15944 | RI |
NPI | 1326002288 |
---|---|
Provider Name | Dr. Lauren M Allister |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 09/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207PP0204X | (05) | VT |