Provider Demographics
NPI:1285772459
Name:LACOMBE, ANGELA (DO)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:LACOMBE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 HOWARD AVE
Mailing Address - Street 2:ADOLF MEYER BLDG.
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-3001
Mailing Address - Country:US
Mailing Address - Phone:401-462-3368
Mailing Address - Fax:401-828-2060
Practice Address - Street 1:111 HOWARD AVE
Practice Address - Street 2:ADOLF MEYER BLDG.
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3001
Practice Address - Country:US
Practice Address - Phone:401-462-3368
Practice Address - Fax:401-828-2060
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI006102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry