OrganizationActive
Lifespan Physician Group Inc
NPI 1578424602 · Dermatology Physician · Providence, RI
Provider details
- NPI number
- 1578424602
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Rawnsley, Vice President Revenue Cycle(401) 444-6905
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St Apc-10
Providence, RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Doing business as
- Brown Health Medical Group
Additional practice locations (7)
- 167 Point St Ste 260Providence, RI 02903-4771Phone: (401) 444-7959
- 164 Summit AveFain Bldg, Ste 2dProvidence, RI 02906-2853Phone: (401) 444-7959
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 444-7959
- 375 Wampanoag Trl Ste 401Riverside, RI 02915-2237Phone: (401) 444-7959
- 65 Village Square Dr Ste 201South Kingstown, RI 02879-2569Phone: (401) 444-7959
- 400 Bald Hill Rd Fl 2Warwick, RI 02886-1617Phone: (401) 444-7959
- 17 Wells St Ste 203Westerly, RI 02891-2923Phone: (401) 348-0660
Registry dates
- Enumerated
- 2025-11-19
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.