Wellformed AI

NPI 1932197803 · live from the CMS NPI Registry

Lawrence M Davis, MD

Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1932197803, active.

NPI record

NPI1932197803 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location593 Eddy St, Providence, RI 02903
Practice phone401-444-5174
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886
EnumeratedOctober 13, 2005
Last updatedJuly 26, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X154855 (MA)
Radiology, Diagnostic Radiology2085R0202X8653 (RI)
Radiology, Diagnostic Radiology primary2085R0202XMD08653 (RI)

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