NPI 1053782466
Lifespan Physician Group, INC.
Practice location
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- (401) 444-5172
- Fax
- (401) 444-5090
- Mailing address
- 117 Ellenfield St STE 101, Providence, RI 02905-4541
Authorised official
- Name
- Peter K Markell
- Title
- Evp & Cfo
- Phone
- (401) 444-7914
Registered specialties (2)
Anesthesiology Physician
Primary
Certified Registered Nurse Anesthetist
Registry record
- NPI
- 1053782466
- Entity type
- Organization
- NPI issued
- 12 Oct 2015
- Record last updated
- 30 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.