Organization · Type 2 NPI

Lifespan Physician Group, Inc.

Surgery Physician · Providence, RI

NPI number 1174484216 Active

Practice location

2 Dudley St Ste 470
Providence, RI 02905-3248

Call (401) 272-1800 Map

Fax (401) 751-5124

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

  • 1407 S County Trl Ste 423, East Greenwich, RI 02818-1761 · (401) 228-0590
  • 2 Dudley St Ste 190, Providence, RI 02905-3248 · (401) 272-1800
  • 100 Highland Ave Ste 308, Providence, RI 02906-2753 · (401) 272-1800
  • 900 Warren Ave Ste 202, East Providence, RI 02914-1430 · (401) 272-1800
  • 562 Washington St, South Attleboro, MA 02703-6942 · (401) 272-1800
  • 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300 · (401) 272-1800
  • 2 Dudley St Ste 370, Providence, RI 02905-3248 · (401) 272-1800
  • 1500 Pontiac Ave, Cranston, RI 02920-4486 · (401) 272-1800
  • 164 Summit Ave # C70, Providence, RI 02906-2853 · (401) 793-4545
  • 208 Collyer St Ste 301A, Providence, RI 02904-1560 · (401) 725-4888
  • 593 Eddy St Apc 4, Providence, RI 02903-4923 · (401) 272-1800
  • 195 Collyer St Ste 302, Providence, RI 02904-1869 · (401) 793-3236
  • 19 Friendship St Unit 240, Newport, RI 02840-2200 · (401) 619-3930
  • 2 Wake Robin Rd Ste 205, Lincoln, RI 02865-4241 · (401) 272-1800
  • 639 Metacom Ave, Warren, RI 02885-2348 · (401) 272-1800
  • 1524 Atwood Ave, Johnston, RI 02919-3248 · (401) 272-1800

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

29 other providers at this address

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About NPI 1174484216

Lifespan Physician Group, Inc.'s National Provider Identifier is 1174484216, issued on Nov 19, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Providence, RI. The record was last updated on Dec 2, 2025.