LIFESPAN PHYSICIAN GROUP INC. NPI 1407116643

NPI Information

NPI: 1407116643
Provider Name: LIFESPAN PHYSICIAN GROUP, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-6779
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LIFESPAN PHYSICIAN GROUP, INC. is a general practice in Providence, RI. LIFESPAN PHYSICIAN GROUP, INC. NPI is 1407116643. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-6779
Fax: (401) 444-6912

The provider's authorized official is David A Kirshner .
The authorized official title is Cfo and has the following contact phone number (401) 444-7914.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 10/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	122300000X	Dentist		No
2	133V00000X	Dietitian, Registered		No
3	152W00000X	Optometrist		No
4	207LC0200X	Anesthesiology	Critical Care Medicine	No
5	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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