Graduated: 2004
Offers telehealth
NPI: 1306887856
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
950 WARREN AVE, SUITE 104
EAST PROVIDENCE, RI 029141432
4016063711
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.