IndividualActive
Lynn Mcnicoll, MD
NPI 1265486443 · Geriatric Medicine (Internal Medicine) Physician · Riverside, RI
Provider details
- NPI number
- 1265486443
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD10775 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
375 Wampanoag Trl
Suite 102
Riverside, RI 02915-2212
Phone: (401) 649-4010
Fax: (401) 649-4011
Approximate (ZIP-level) locationGet directions
Mailing address
17 Virginia Ave
Providence, RI 02905-4406
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.