Organization
LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI LEIBOWITZ (MEDICAL DIRECTOR)
(410) 601-5838
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 601-6897
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
03-004
MD
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
03-004
MD
Other
Enumeration date
10/27/2006
Last updated
07/25/2025
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