Lifespan Physician Group INC
NPI #1578424602 in Providence, Rhode Island
Provider Information
- NPI Number
- 1578424602
- Entity Type
- Organization
- Organization Name
- Lifespan Physician Group INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Dec 2, 2025
Practice Location
- Address
- 110 ELM ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4626
- Phone
- (401) 444-7959
Authorized Official
- Name
- CHRISTINE RAWNSLEY
- Title
- VICE PRESIDENT REVENUE CYCLE
- Phone
- (401) 444-6905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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