LIFESPAN PHYSICIAN GROUP, INC.

Surgery

Active Organization
NPI: 1174484216

Practice Address

2 DUDLEY ST STE 470
Providence, RI 02905

Phone: (401) 272-1800

Specialties

Specialty Code Primary License
Surgery 208600000X Yes -

Frequently Asked Questions

NPI 1174484216 is the National Provider Identifier for LIFESPAN PHYSICIAN GROUP, INC., a Surgery provider located in Providence, RI. This NPI was enumerated on November 19, 2025.

Quick Facts

NPI
1174484216
Type
Organization
Enumerated
Nov 19, 2025
Last Updated
Dec 2, 2025

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