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Contact Information

LANCE C MCCORMACK, LCDP
1845 POST RD. SUITE #10N
WARWICK, RI02886
 Phone: 401-737-4685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LANCE C MCCORMACK · (Male)

NPI Number 1861734063
Status Active
Credentials LCDP
Entity Individual
Enumeration date 03/26/2013
Last updated 03/26/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # CDP00439
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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