Provider Demographics
NPI:1619975802
Name:FRAPPIER, LISA MARIE (DO)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:FRAPPIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:250 WAMPANOAG TRL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2218
Mailing Address - Country:US
Mailing Address - Phone:401-435-0044
Mailing Address - Fax:401-276-3939
Practice Address - Street 1:250 WAMPANOAG TRL
Practice Address - Street 2:SUITE 202
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915
Practice Address - Country:US
Practice Address - Phone:401-435-0044
Practice Address - Fax:844-278-9690
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIDO 04292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1093831646OtherBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RIIP005419OtherMAGELLAN
RI23931-4OtherBLUE CROSS
RI1104801349OtherBUTLER HOSPITAL NPI
RI7003386Medicaid
RI007059467OtherMEDICARE ID-TYPE UNSPECIFIED
RI220877OtherPILGRAM
RI402027OtherBLUECHIP
1093831646OtherBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI23931-4OtherBLUE CROSS