Organization · Type 2 NPI

Lifespan Physician Group Inc

Dermatology Physician · Providence, RI

NPI number 1578424602 Active

Practice location

593 Eddy St APC-10
Providence, RI 02903-4923

Call (401) 444-7959 Map

Fax (401) 444-7144

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

  • 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2569 · (401) 444-7959
  • 101 Dudley St, Providence, RI 02905-2401 · (401) 444-7959
  • 400 Bald Hill Rd Fl 2, Warwick, RI 02886-1617 · (401) 444-7959
  • 375 Wampanoag Trl Ste 401, Riverside, RI 02915-2237 · (401) 444-7959
  • 17 Wells St Ste 203, Westerly, RI 02891-2923 · (401) 348-0660
  • 164 Summit Ave, Fain Bldg, Ste 2D, Providence, RI 02906-2853 · (401) 444-7959
  • 167 Point St Ste 260, Providence, RI 02903-4771 · (401) 444-7959

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

5 other providers at this address

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About NPI 1578424602

Lifespan Physician Group Inc's National Provider Identifier is 1578424602, issued on Nov 19, 2025. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Providence, RI. The record was last updated on Apr 2, 2026.