# LIFEBRIDGE COMMUNITY PHYSICIANS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Lea Lazar
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437528551
- **Authorized official:** MARY R WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 6355 TEN OAKS RD, SUITE 202, CLARKSVILLE, MD 21029-1185
- **Practice address phone:** (410) 531-1440
- **Practice address fax:** (410) 531-1412
- **Mailing address:** 6355 TEN OAKS RD, SUITE 202, CLARKSVILLE, MD 21029-1185
- **Mailing address phone:** (410) 531-1440
- **Mailing address fax:** (410) 531-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MD | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 08/27/2021