Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 297727 | NY |
Y | 208000000X | Pediatrician | MD17019 | RI |
N | 2080P0204X | Pediatric Emergency Doctor | MD17019 | RI |
NPI | 1215383658 |
---|---|
Provider Name | Dr. Lauren Sara Vrablik |
First Address | Providence, RI 02903 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 03/11/2021 |