Organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Active
Other names
Lifebridge Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY R WRIGHT-SISK (VICE PRESIDENT)
(443) 422-9941
Entity
Organization
Contact information
Practice address
1401 PULASKI HWY, SUITE M, EDGEWOOD, MD 21040-1398
(410) 671-9241
(410) 671-9242
Mailing address
1401 PULASKI HWY, SUITE M, EDGEWOOD, MD 21040-1398
(410) 671-9241
(410) 671-9242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0068088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
970084600
—
MD
Enumeration date
02/17/2012
Last updated
08/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us