Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Potomac Professionals at Crossroads
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 623-8926
Entity
Organization
Contact information
Practice address
23 CROSSROADS DR STE 340, OWINGS MILLS, MD 21117-5492
(410) 653-0366
(410) 601-4759
Mailing address
23 CROSSROADS DR STE 340, OWINGS MILLS, MD 21117-5492
(410) 653-0366
(410) 601-4759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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