# 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. Anisa Mirza
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508225798
- **Authorized official:** MARY WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 849 FAIRMONT AVENUE, SUITE 100B, TOWSON, MD 21286-2600
- **Practice address phone:** (410) 469-4981
- **Practice address fax:** (410) 469-4983
- **Mailing address:** 849 FAIRMONT AVENUE, SUITE 100B, TOWSON, MD 21286-2600
- **Mailing address phone:** (410) 469-4981
- **Mailing address fax:** (410) 469-4983

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 08/27/2021