| Lifebridge Community Physicians Inc | |
|
5401 Old Court Rd Randallstown MD 21133-5103 | |
| (410) 521-4211 | |
| (410) 521-0627 |
| Full Name | Lifebridge Community Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5401 Old Court Rd, Randallstown, 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 Community Physicians Inc 5401 Old Court Rd Randallstown MD 21133-5103 Ph: (410) 521-4211 | Lifebridge Community Physicians Inc 5401 Old Court Rd Randallstown MD 21133-5103 Ph: (410) 521-4211 |
| NPI Number | 1285436030 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285436030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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