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LIFESPAN PHYSICIAN GROUP, INC.

General Practice Physician

NPI: 1407116643Organization

Specialties, Licenses & Credentials

Surgery

Code: 208600000X

Surgery — Surgical Critical Care

Code: 2086S0102X

Dietitian, Registered

Code: 133V00000X

Colon & Rectal Surgery

Code: 208C00000X

Surgery — Vascular Surgery

Code: 2086S0129X

Optometrist

Code: 152W00000X

Surgery — Trauma Surgery

Code: 2086S0127X

Obstetrics & Gynecology

Code: 207V00000X

Transplant Surgery

Code: 204F00000X

Plastic Surgery

Code: 208200000X

Surgery — Surgical Oncology

Code: 2086X0206X

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Code: 208G00000X

Surgery — Pediatric Surgery

Code: 2086S0120X

Anesthesiology — Critical Care Medicine

Code: 207LC0200X

General Practice

Code: 208D00000X

Contact & Hours

Address
593 EDDY ST
PROVIDENCE, RI 02903

Quick Facts

NPI
1407116643
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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