Lifespan Physician Group, Inc.

NPI #1215899869 in Riverside, Rhode Island

Provider Information

NPI Number: 1215899869
Entity Type: Organization
Organization Name: Lifespan Physician Group, Inc.
Primary Specialty: General Practice
Enumeration Date: Dec 2, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 375 WAMPANOAG TRL
City: Riverside
State: Rhode Island
ZIP Code: 02915-2232
Phone: (401) 649-4000

Authorized Official

Name: CHRISTINE RAWNSLEY
Title: VP REVENUE CYCLE
Phone: (401) 444-6905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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