Graduated: 2022
NPI: 1699495242
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
17 AIRPORT RD
WARWICK, RI 028891001
4016062520
THUNDERMIST HEALTH CENTER
186 PROVIDENCE ST
WEST WARWICK, RI 028932508
4016152800
Source: CMS National Downloadable File, September 2026.