Provider Demographics
NPI:1821601246
Name:RIZ, LUCRECIA DOMINGA
Entity Type:Individual
Prefix:MS
First Name:LUCRECIA
Middle Name:DOMINGA
Last Name:RIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-5017
Mailing Address - Country:US
Mailing Address - Phone:401-209-8570
Mailing Address - Fax:
Practice Address - Street 1:4 PERSHING RD
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-5017
Practice Address - Country:US
Practice Address - Phone:401-209-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker