NPI Index

LIFESPAN PHYSICIAN GROUP, INC.

General Practice

Active Organization
NPI: 1407116643

Practice Address

593 EDDY ST
Providence, RI 02903

Phone: (401) 444-6779

Specialties

Specialty Code Primary License
Surgery 208600000X No -
Surgery - Surgical Critical Care 2086S0102X No -
Dietitian, Registered 133V00000X No -
Colon & Rectal Surgery 208C00000X No -
Surgery - Vascular Surgery 2086S0129X No -
Optometrist 152W00000X No -
Surgery - Trauma Surgery 2086S0127X No -
Obstetrics & Gynecology 207V00000X No -
Transplant Surgery 204F00000X No -
Plastic Surgery 208200000X No -
Surgery - Surgical Oncology 2086X0206X No -
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X No -
Surgery - Pediatric Surgery 2086S0120X No -
Anesthesiology - Critical Care Medicine 207LC0200X No -
General Practice 208D00000X Yes -

Frequently Asked Questions

NPI 1407116643 is the National Provider Identifier for LIFESPAN PHYSICIAN GROUP, INC., a General Practice provider located in Providence, RI. This NPI was enumerated on May 22, 2012.

Quick Facts

NPI
1407116643
Type
Organization
Enumerated
May 22, 2012
Last Updated
Oct 7, 2025

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