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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
Potomac Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WRIGHT-SISK M.D. (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5126
(410) 521-7337
(410) 521-7377
Mailing address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5126
(410) 521-7337
(410) 521-7377
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/08/2013
Last updated
03/05/2026
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