LIFESPAN PHYSICIAN GROUP, INC.
NPI 1912856154
Clinic/Center - Ambulatory Surgical in Providence, RI

Active since January 22, 2026
195 COLLYER ST STE 104, PROVIDENCE, RI 02904(401) 276-2026(401) 276-2025 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2026, Jan 23, 2026 (2 updates tracked since 2026).

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About LIFESPAN PHYSICIAN GROUP, INC.

This page provides the complete NPI Profile along with additional information for Lifespan Physician Group, Inc., a provider established in Providence, Rhode Island operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1912856154 assigned on January 2026. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Christine Rawnsley (Vp Revenue Cycle)

NPI
1912856154 Verify this NPI
Provider Name
LIFESPAN PHYSICIAN GROUP, INC.
Entity Type
Organization
Location Address
195 COLLYER ST STE 104 PROVIDENCE, RI 02904
Location Phone
(401) 276-2026
Location Fax
(401) 276-2025
Mailing Address
15 LA SALLE SQ PROVIDENCE, RI 02903
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-22-2026
Last Update Date
03-20-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE RAWNSLEY

Authorized Official Title
VP REVENUE CYCLE
Authorized Official Phone
(401) 444-6905

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
195 COLLYER ST STE 104
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912856154, enumerated as an "organization" on January 22, 2026.

The provider is located at 195 COLLYER ST STE 104 PROVIDENCE, RI 02904 and the phone number is (401) 276-2026.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.