Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Other names
LifeBridge Health Sports Medicine 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
5415 OLD COURT RD, RANDALLSTOWN, MD 21133-5170
(410) 601-7529
(667) 219-6290
Mailing address
5415 OLD COURT RD, RANDALLSTOWN, MD 21133-5170
(410) 601-7529
(667) 219-6290
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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