Individual
DR. LYNN HOLLEY SOMMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 N MAIN ST, STE 5, PROVIDENCE, RI 02904-5700
(401) 331-8338
(401) 331-0573
Mailing address
845 N MAIN ST, 5, PROVIDENCE, RI 02904-5700
(401) 331-8338
(401) 331-0573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06858
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400917
UNITED HEALTHCARE
RI
01
—
204125
BLUE CROSS BLUE SHIELD
RI
05
—
902-04-12
—
RI
Enumeration date
11/20/2006
Last updated
07/20/2017
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