| Lifebridge Potomac Professionals at Frederick | |
|
110 Baughmans Ln Ste 270 Frederick MD 21702-4650 | |
| (301) 846-0300 | |
| (410) 601-4938 |
| Full Name | Lifebridge Potomac Professionals at Frederick |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Baughmans Ln Ste 270, Frederick, Maryland |
| Authorized Official Name and Position | Mary Rebecca Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Potomac Professionals at Frederick 110 Baughmans Ln Ste 270 Frederick MD 21702-4650 Ph: (301) 846-0300 | Lifebridge Potomac Professionals at Frederick 110 Baughmans Ln Ste 270 Frederick MD 21702-4650 Ph: (301) 846-0300 |
| NPI Number | 1821898511 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821898511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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