Lee Disalvia Mcweeney

NPI #1912458043 in Johnston, Rhode Island

Provider Information

NPI Number: 1912458043
Entity Type: Individual
Name: Lee Disalvia Mcweeney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 1516 ATWOOD AVE
City: Johnston
State: Rhode Island
ZIP Code: 02919-3223
Phone: (401) 785-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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