Organization
LIFEBRIDGE INVESTMENTS
Active
Other names
Lifebridge Community Practices dba Clinical Associates Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE BEASLEY THOMAS (DIRECTOR)
(410) 494-1212
Entity
Organization
Contact information
Practice address
750 MAIN ST, SUITE 301A, REISTERSTOWN, MD 21136-2515
(410) 526-3060
(410) 526-3091
Mailing address
2401 W BELVEDERE AVE, CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1490
MD
Other
Enumeration date
09/15/2009
Last updated
09/08/2010
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