Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Parent organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Other names
LBH Behavioral Health Consultants-NW
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 623-8926
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) 521-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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