Healthcare Provider Details

I. General information

NPI: 1013034016
Provider Name (Legal Business Name): LISA RACHELLE DENNY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 VINCENT PAUL DR
BARRINGTON RI
02806-4809
US

IV. Provider business mailing address

60 BAY SPRING AVE UNIT 6B
BARRINGTON RI
02806-1384
US

V. Phone/Fax

Practice location:
  • Phone: 401-289-2187
  • Fax:
Mailing address:
  • Phone: 401-246-1300
  • Fax: 401-289-2582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number215460
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD12286
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: