LIFESPAN PHYSICIAN GROUP INC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1578424602- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 593 EDDY ST APC-10, PROVIDENCE, RI, 029034923
- Phone
- (401) 444-7959
- Fax
- (401) 444-7144
Specialties & Taxonomies
Dermatology
Primary
All Addresses
MAILING
15 LA SALLE SQ
PROVIDENCE, RI, 029031814