Organization
LIFEBRIDGE COMMUNITY PEDIATRICS, LLC
Active
Other names
Main Street Pediatrics at Owings Mills
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
10084 REISTERSTOWN RD STE 200B, OWINGS MILLS, MD 21117-4096
(410) 526-7993
(410) 526-5144
Mailing address
10084 REISTERSTOWN RD STE 200B, OWINGS MILLS, MD 21117-4096
(410) 526-7993
(410) 526-5144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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