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Organization

LIFEBRIDGE ORTHOPEDIC SPECIALISTS, LLC

Active
Other names
LifeBridge Neurosciences at Old Court
Organization subpart
No

Provider details

NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization

Contact information

Practice address
5415 OLD COURT RD STE 504, RANDALLSTOWN, MD 21133-5170
(410) 601-4417
(410) 601-7138
Mailing address
5415 OLD COURT RD STE 504, RANDALLSTOWN, MD 21133-5170
(410) 601-4417
(410) 601-7138

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
05/12/2025
Last updated
03/13/2026
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