Individual
LYNN A. SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12752
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060524
MEDICARE
RI
01
—
01292008
TUFTS HEALTH PLAN
MA
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
10/1/2008
BCBSRI
RI
01
—
11/13/2008
NHPRI
RI
01
—
1669697454
NPI
RI
05
—
2160285
—
MA
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
05
—
LS72788
—
RI
01
—
P00711109
RAILROAD MEDICARE
RI
Enumeration date
04/16/2007
Last updated
05/24/2016
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