Provider Demographics
NPI:1790185841
Name:RUGGIERI-LIMA, KIMBERLY ANN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:RUGGIERI-LIMA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LITTLE POND COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-2810
Mailing Address - Country:US
Mailing Address - Phone:401-480-7232
Mailing Address - Fax:401-765-5733
Practice Address - Street 1:309 LITTLE POND COUNTY RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-2810
Practice Address - Country:US
Practice Address - Phone:401-480-7232
Practice Address - Fax:401-765-5733
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT01419174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist