Individual provider · Type 1 NPI
Lila Mae Flavin, MD
Addiction Medicine (Psychiatry & Neurology) Physician · Boston, MA
NPI number
1508421504
Active
Practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
593 Eddy St
Providence, RI 02903-4923
Other practice locations
- 593 Eddy St, Providence, RI 02903-4923 · (401) 444-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | CMD19213 (RI) |
| Psychiatry Physician | 2084P0800X | 308079 (NY) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1508421504
Lila Mae Flavin, MD's National Provider Identifier is 1508421504, issued on May 6, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Boston, MA. The record was last updated on Aug 5, 2024.