Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
LifeBridge Community Pulmonology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
1838 GREENE TREE RD, SUITE 350, PIKESVILLE, MD 21208-6391
(410) 484-5686
(410) 484-6472
Mailing address
1838 GREENE TREE RD, SUITE 350, PIKESVILLE, MD 21208-6391
(410) 484-5686
(410) 484-6472
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
MD
207RP1001X
Pulmonary Disease Physician
Primary
—
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
MD
Other
Enumeration date
12/13/2012
Last updated
08/27/2021
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