Organization
LIFESPAN PHYSICIAN GROUP, INC.
Active
Parent organization
LIFESPAN PHYSICIAN GROUP INC
Other names
BROWN HEALTH MEDICAL GROUP, BROWN HEALTH MEDICAL GROUP OUTPATIENT SURGERY CENTER, Collyer Street Operatory
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN PHYSICIAN GROUP INC
Authorized official
CHRISTINE RAWNSLEY (VP REVENUE CYCLE)
(401) 444-6905
Entity
Organization
Contact information
Practice address
195 COLLYER ST STE 104, PROVIDENCE, RI 02904-1869
(401) 276-2026
(401) 276-2025
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
03/20/2026
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