# LIFEBRIDGE COMMUNITY PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeBridge Orthopedics of BelAir
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164810891
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 2012 S TOLLGATE RD, SUITE 109, BEL AIR, MD 21015-5900
- **Practice address phone:** (410) 569-3690
- **Practice address fax:** (410) 569-3946
- **Mailing address:** 2012 S TOLLGATE RD, SUITE 109, BEL AIR, MD 21015-5900
- **Mailing address phone:** (410) 569-3690
- **Mailing address fax:** (410) 569-3946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | MD | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 08/27/2021