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NPI 1689536229 · live from the CMS NPI Registry

Lifespan Physician Group, INC.

Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1689536229, active.

NPI record

NPI1689536229 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location593 Eddy Street Apc 5, Providence, RI 02903
Practice phone401-444-3032
Mailing address15 La Salle Sq, Providence, RI 02903
EnumeratedDecember 2, 2025
Last updatedApril 22, 2026
Authorized officialChristine Rawnsley, Vp Revenue Cycle
Other namesBrown Health Medical Group

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.