Lifebridge Community Physicians, Inc.

NPI #1336684505 in Randallstown, Maryland

Provider Information

NPI Number: 1336684505
Entity Type: Organization
Organization Name: Lifebridge Community Physicians, Inc.
Primary Specialty: Surgery
Enumeration Date: Dec 27, 2016
Last Updated: Aug 27, 2021

Practice Location

Address: 5401 OLD COURT RD
City: Randallstown
State: Maryland
ZIP Code: 21133-5103
Phone: (410) 521-2200

Authorized Official

Name: MARY R WRIGHT-SISK
Title: DIRECTOR
Phone: (443) 422-9941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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