Provider Demographics
NPI:1013034016
Name:DENNY, LISA RACHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:RACHELLE
Last Name:DENNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:60 BAY SPRING AVE
Mailing Address - Street 2:UNIT 6B
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-1384
Mailing Address - Country:US
Mailing Address - Phone:401-246-1300
Mailing Address - Fax:401-289-2582
Practice Address - Street 1:6 VINCENT PAUL DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-4809
Practice Address - Country:US
Practice Address - Phone:401-289-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12286207Q00000X
MA215460207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI149233Medicare UPIN