Individual provider · Type 1 NPI

Carole Suzanne Lucie Spake, MD

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1932789385 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-4000 Map

Mailing address

389 Benefit St Apt 2
Providence, RI 02903-2945

Other practice locations

  • 389 Benefit St Apt 2, Providence, RI 02903-2945 · (401) 855-4472

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP05684 (RI)
Plastic Surgery Physician 208200000XLP05684 (RI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2,340 other providers at this address

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About NPI 1932789385

Carole Suzanne Lucie Spake, MD's National Provider Identifier is 1932789385, issued on Apr 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Jun 13, 2022.