# LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457818338
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR OF PHYSICIAN ENTERPRISE)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
- **Practice address phone:** (410) 601-9000
- **Mailing address:** 535 OLD WESTMINSTER PIKE STE 102, WESTMINSTER, MD 21157-6269
- **Mailing address phone:** (410) 871-6831
- **Mailing address fax:** (410) 871-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 08/31/2021