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Organization
LIFESPAN PHYSICIAN GROUP INC
Active
Organization
LIFESPAN PHYSICIAN GROUP INC
Active
Other names
BROWN HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RAWNSLEY (VICE PRESIDENT REVENUE CYCLE)
(401) 444-6905
Entity
Organization
Contact information
Practice address
195 COLLYER ST STE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
12/02/2025
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