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Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Active
Other names
LifeBridge Health Primary Care at Liberty Road
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
8600 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 521-4211
(410) 521-0627
Mailing address
8600 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 521-4211
(410) 521-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
08/21/2024
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