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LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1255702338


NPI Information

NPI: 1255702338
Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Doing Business As: LIFEBRIDGE SURGICAL SERVICES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 521-2200
Get Directions

LIFEBRIDGE COMMUNITY PHYSICIANS, INC is a family medicine in Randallstown, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIFEBRIDGE COMMUNITY PHYSICIANS, INC NPI is 1255702338. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifebridge Surgical Services.

The provider's business location address is:

5401 OLD COURT RD
RANDALLSTOWN, MD
ZIP 21133-103
Phone: (410) 521-2200

The provider's authorized official is Mary R Wright-sisk .
The authorized official title is Director and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH68214MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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