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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Potomac Professionals at Crossroads
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 623-8926
Entity
Organization
Contact information
Practice address
23 CROSSROADS DR STE 340, OWINGS MILLS, MD 21117-5492
(410) 653-0366
(410) 601-4759
Mailing address
23 CROSSROADS DR STE 340, OWINGS MILLS, MD 21117-5492
(410) 653-0366
(410) 601-4759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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