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NPI 1336203561 · live from the CMS NPI Registry

Ana P Lourenco, M.D.

Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1336203561, active.

NPI record

NPI1336203561 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location593 Eddy St, Providence, RI 02903
Practice phone401-444-5184
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886
EnumeratedDecember 21, 2006
Last updatedMarch 7, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X230767 (MA)
Radiology, Diagnostic Radiology primary2085R0202XMD12576 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.