Individual
LYNNE PALMISCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 854-2504
(401) 854-2519
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD09793
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
06/01/2009
BCBS
RI
01
—
10/08/2009
NHPRI
RI
01
—
1184638017
NPI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
05
—
3201988
—
MA
05
—
7006718
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/28/2006
Last updated
09/18/2013
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