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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS INC

Active
Other names
LifeBridge Potomac Professionals at Randallstown
Organization subpart
No

Provider details

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

Contact information

Practice address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5126
(410) 521-7377
(410) 521-7337
Mailing address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5126
(410) 521-7377
(410) 521-7337

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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