Organization · Type 2 NPI

Lifespan Physician Group, Inc.

Neurology Physician · Providence, RI

NPI number 1689536229 Active

Practice location

593 Eddy Street Apc 5
Providence, RI 02903

Fax (401) 444-3205

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

  • 1 James P Murphy Ind Hwy Ste 120, West Warwick, RI 02893-2366 · (401) 606-4600
  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-3032
  • 900 Douglas Pike, Smithfield, RI 02917-1879 · (401) 444-3032
  • 101 Dudley St, Providence, RI 02905-2401 · (401) 444-3032
  • 11 Friendship St, Newport, RI 02840-2209 · (401) 846-6400
  • 1407 S County Trl, East Greenwich, RI 02818-1652 · (401) 444-3032
  • 164 Summit Ave, Providence, RI 02906-2853 · (401) 444-3032

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3 other providers at this address

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About NPI 1689536229

Lifespan Physician Group, Inc.'s National Provider Identifier is 1689536229, issued on Dec 2, 2025. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Providence, RI. The record was last updated on Apr 22, 2026.