| Lynn H Sommerville Md Phd | |
|
100 Highland Ave #302 Providence RI 02906 | |
| (401) 331-8338 | |
| (401) 331-0573 |
| Full Name | Lynn H Sommerville Md Phd |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Highland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Lynn Holley Sommerville (PHYSICIAN OWNER) |
| Authorized Official Contact | 4013318338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn H Sommerville Md Phd 100 Highland Ave #302 Providence RI 02906 Ph: (401) 331-8338 | Lynn H Sommerville Md Phd 100 Highland Ave #302 Providence RI 02906 Ph: (401) 331-8338 |
| NPI Number | 1194877704 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194877704 | NPI | - | NPPES |
| 204125 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| 0400917 | Other | RI | UNITED HEALTH CARE |
| 9020412 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD06858 (Rhode Island) | Primary |
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