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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFESPAN PHYSICIAN GROUP, INC.

Active Organization

LIFESPAN PHYSICIAN GROUP, INC. is a General Practice organization located in PROVIDENCE, Rhode Island. NPI 1407116643 is currently active in the NPPES registry. Verify at CMS.

General Practice · PROVIDENCE, RI

Registration Details

NPI Number
1407116643
Provider Type
Organization
NPI Issued
May 22, 2012 (14.205362234208 yrs)
Last Updated
Oct 7, 2025

Practice Information

Address
593 EDDY ST
PROVIDENCE, RI, 029034923
Browse RI providers · Browse ZIP 02903
Phone
4014446779
Fax
4014446912
Primary Specialty
General Practice
208D00000X
Additional Specialty
Surgical Critical Care
Additional Specialty
Registered Dietitian
Additional Specialty
Colon & Rectal Surgery
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.