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Organization
LIFEBRIDGE MULTI-SPECIALTY, LLC
Active
Organization
LIFEBRIDGE MULTI-SPECIALTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY R WRIGHT-SISK (DIRECTOR)
(410) 701-4439
Entity
Organization
Contact information
Practice address
41 MAGNA WAY, SUITE 100, WESTMINSTER, MD 21157-3073
(410) 751-6684
(410) 751-2371
Mailing address
41 MAGNA WAY, SUITE 100, WESTMINSTER, MD 21157-3073
(410) 751-6684
(410) 751-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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