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Contact Information

LIFESPAN PHYSICIAN GROUP, INC.
639 METACOM AVE
WARREN, RI02885-2348
 Phone: 401-245-1500
 Fax: 401-247-2618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Chiropractor

111N00000X 35 Chiropractic
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LIFESPAN PHYSICIAN GROUP INC · (Female)

NPI Number 1629449210
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2015
Last updated 04/20/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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