# LIFEBRIDGE COMMUNITY PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodholme Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194275453
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 1838 GREENE TREE RD, SUITE 300, PIKESVILLE, MD 21208-6391
- **Practice address phone:** (410) 653-0366
- **Practice address fax:** (410) 653-2527
- **Mailing address:** 1838 GREENE TREE RD, SUITE 300, PIKESVILLE, MD 21208-6391
- **Mailing address phone:** (410) 653-0366
- **Mailing address fax:** (410) 653-2527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 08/27/2021