Lifespan Physician Group, Inc.

NPI #1912856154 in Providence, Rhode Island

Provider Information

NPI Number
1912856154
Entity Type
Organization
Organization Name
Lifespan Physician Group, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFESPAN PHYSICIAN GROUP INC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 22, 2026
Last Updated
Jan 23, 2026

Practice Location

Address
195 COLLYER ST STE 104
ZIP Code
02904-1869
Phone
(401) 276-2026

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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