Mcnicoll, Lynn

Mcnicoll, Lynn is an individual health care provider with primary practice located at 375 Wampanoag Trl Suite 102, Riverside RI 02915-2212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mcnicoll, Lynn can be contacted via phone (401) 649-4010.

Contact Information

Primary practice address
375 Wampanoag Trl Suite 102 Riverside RI 02915-2212
Fax: (401) 649-4011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD10775 Rhode Island

Profile Details

NPI number 1265486443
LBN Legal business name Mcnicoll, Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265486443 NPPES
Rhode Island MEDICAID 9026358

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