Lifespan Physician Group, Inc.

General Practice Clinic | Dietitian, Registered


 593 Eddy St, Providence
    Rhode Island, 02903-4923

 401-444-6779    401-444-6912   Maps & Directions
Lifespan Physician Group, Inc. is a Dietitian, Registered Center in Providence, Rhode Island. This organization is also known as sub part of Lifespan Corporation. It is situated at 593 Eddy St, Providence and its contact number is 401-444-6779. The authorized person of Lifespan Physician Group, Inc. is Mr. Peter K Markell who is Evp & Cfo of the clinic and their contact number is 401-444-7914.
Lifespan Physician Group, Inc. Center A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Complete Profile:
Lifespan Physician Group, Inc. Center speciality, address, contact phone number and fax are as below. Patients can call the eye care center on the below given phone number for appointment.
Specialization: Dietitian, Registered
Address:593 Eddy St, Providence,
Rhode Island, 02903-4923
Phone:401-444-6779
Fax:401-444-6912
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Mr. Peter K Markell
Position: Evp & Cfo
Contact Number: 401-444-7914
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Lifespan Physician Group, Inc. Center are as mentioned below.
NPI Number: 1407116643
Parent Organization: Lifespan Corporation
NPI Enumeration Date: 22 May, 2012
NPI Last Update On: 07 Oct, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifespan Physician Group, Inc. are as mentioned below.
SpecializationLicense NumberStateStatus
General Practice Primary
Dietitian, Registered Secondary
Optometry Secondary
Transplant Surgery Secondary
Anesthesiology Secondary
Obstetrics & Gynecology Secondary
Plastic Surgery Secondary
Surgery Secondary
Surgery Secondary
Surgery Secondary
Surgery Secondary
Surgery Secondary
Surgery Secondary
Colon & Rectal Surgery Secondary
Thoracic Surgery (cardiothoracic Vascular Surgery) Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Lifespan Physician Group, Inc.
117 Ellenfield St, Suite 101
Providence, Rhode Island
Zip: 02905-4513
Phone Number: 401-444-6779
Fax Number: 401-444-6912
Patients can reach Lifespan Physician Group, Inc. at 593 Eddy St, Providence, Rhode Island or can call to book an appointment on 401-444-6779.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.