Individual provider · NPI-1
Lujane Barakat, DMD
Dentist · Providence, RI
NPI number1306601430
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1306601430
- Entity type
- Individual (NPI-1)
- Name
- Lujane Barakat
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DEN03785 | RI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
335r Prairie AveProvidence, RI 02905-2426
Phone 401-444-0430 · Fax 401-444-0489
Mailing address
375 Allens AveProvidence, RI 02905-5010
Phone 401-444-0400
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