# LIFEBRIDGE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164884466
- **Authorized official:** DR. MARY R WRIGHT-SISK M.D. (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 8114 SANDPIPER CIR, SUITE 206, NOTTINGHAM, MD 21236-4934
- **Practice address phone:** (410) 933-4923
- **Practice address fax:** (410) 933-8659
- **Mailing address:** 8114 SANDPIPER CIR, SUITE 206, NOTTINGHAM, MD 21236-4934
- **Mailing address phone:** (410) 933-4923
- **Mailing address fax:** (410) 933-8659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | R204261 | MD | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 08/27/2021