Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD12061 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD12061 | RI |
NPI | 1174566806 |
---|---|
Provider Name | Laura Lynn Chapman |
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 | 13/06/2006 |
Last Update Date | 21/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007058626 | MEDICARE (01) | RI |
04/15/2009 | UNITED HEALTHCARE (01) | RI |
1174566806 | NPI (01) | |
12/29/2008 | TUFTS (01) | RI |
2103508 | (05) | MA |
413453 | BCBSRI (01) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | |
LC57472 | (05) | RI |