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
593 EDDY ST APC-10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
04/02/2026
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