Provider Demographics
NPI:1780797860
Name:NOYES-DUGUAY, LISA M (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:NOYES-DUGUAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:85 BEACH ST
Mailing Address - Street 2:BLDG. B
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2717
Mailing Address - Country:US
Mailing Address - Phone:401-596-8311
Mailing Address - Fax:
Practice Address - Street 1:85 BEACH ST
Practice Address - Street 2:BLDG. B
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2717
Practice Address - Country:US
Practice Address - Phone:401-596-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD09116-RI207R00000X
CT035428207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIOR2932OtherHEALTH NET NUMBER
RI04-00778OtherUNITED HEALTH NUMBER
RI20328-5OtherBCBS OF RI NUMBER
CT010009116RI-01OtherBCBS OF CT NUMBER
RI04-00778OtherUNITED HEALTH NUMBER