| Lifespan Physician Group Inc | |
|
593 Eddy Street Apc 5 Providence RI 02903 | |
| (401) 444-3032 | |
| Not Available |
| Full Name | Lifespan Physician Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 593 Eddy Street Apc 5, Providence, Rhode Island |
| Authorized Official Name and Position | Christine Rawnsley (VP REVENUE CYCLE) |
| Authorized Official Contact | 4014446905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Physician Group Inc 15 La Salle Sq Providence RI 02903-1814 Ph: (401) 444-6779 | Lifespan Physician Group Inc 593 Eddy Street Apc 5 Providence RI 02903 Ph: (401) 444-3032 |
| NPI Number | 1689536229 |
|---|---|
| Provider Enumeration Date | 12/02/2025 |
| Last Update Date | 12/05/2025 |
| Certification Date | 12/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689536229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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