Organization · Type 2 NPI
Lifespan Physician Group Inc
Ambulatory Surgical Clinic/Center · East Providence, RI
NPI number
1134078868
Active
Practice location
62 Amaral Street
East Providence, RI 02915
Fax (401) 649-4031
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in East Providence
About NPI 1134078868
Lifespan Physician Group Inc's National Provider Identifier is 1134078868, issued on Jan 26, 2026. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in East Providence, RI. The record was last updated on Jul 16, 2026.