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NPI Verification

National Provider Identifier: 1720949803

Lifespan Physician Group INC

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

15 LA SALLE SQ

PROVIDENCE, RI 029031814

Phone: 401-444-6779

NPI Enumeration Date

November 19, 2025

NPI Number

1720949803

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry