Lifespan Physician Group, Inc.

NPI #1629449210 in Warren, Rhode Island

Provider Information

NPI Number: 1629449210
Entity Type: Organization
Organization Name: Lifespan Physician Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 8, 2015
Last Updated: Apr 20, 2023

Practice Location

Address: 639 METACOM AVE
City: Warren
State: Rhode Island
ZIP Code: 02885-2348
Phone: (401) 245-1500

Authorized Official

Name: MR. PETER K MARKELL
Title: EVP & CFO
Phone: (401) 444-7914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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