Provider Demographics
NPI:1700157377
Name:JAMES, LINDSEY ADELE
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ADELE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ADELE
Other - Last Name:MARUCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:371 PUTNAM PIKE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2440
Mailing Address - Country:US
Mailing Address - Phone:401-232-2854
Mailing Address - Fax:401-757-3266
Practice Address - Street 1:371 PUTNAM PIKE
Practice Address - Street 2:SUITE 250
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2440
Practice Address - Country:US
Practice Address - Phone:401-232-2854
Practice Address - Fax:401-757-3266
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist