Lifespan Physician Group Inc

LBN: Lifespan Physician Group Inc
Lifespan Physician Group Inc is an health care organization with primary practice located at 62 Amaral Street , East Providence RI 02915. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Lifespan Physician Group Inc can be contacted via phone (401) 649-4030, or through Gordon, Donna via phone (401) 443-5107.

Contact Information

Primary practice address
62 Amaral Street East Providence RI 02915
Phone: (401) 649-4030
Fax: (401) 649-4031
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Donna
Phone: (401) 443-5107

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1134078868
LBN Legal business name Lifespan Physician Group Inc
DBA Doing business as
Authorized official Gordon, Donna
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 26th, 2026
Last updated Jul 16th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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