Organization
LIFESPAN PHYSICIAN GROUP, INC.
Active
Other names
BROWN HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RAWNSLEY (VP REVENUE CYCLE)
(401) 444-6905
Entity
Organization
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4000
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
12/02/2025
Last updated
04/28/2026
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