Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Physician Group, Inc

Organization Chiropractor · NPI 1629449210

Lifespan Physician Group, Inc is a Chiropractor in Warren, Rhode Island. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

639 Metacom Ave
Warren, RI 02885-2348
Phone: (401) 245-1500
Fax: (401) 247-2618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Chiropractor Taxonomy 111N00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1629449210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Markell — Evp & Cfo · (401) 444-7914
Other names Metacom Medical; Metacom Medical
NPI enumeratedOctober 8, 2015
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address117 Ellenfield St, Suite 101, Providence, RI 02905-4513

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