LIFEBRIDGE MULTI-SPECIALTY LLC NPI 1972978625

NPI Information

  • NPI: 1972978625
  • Provider Name: LIFEBRIDGE MULTI-SPECIALTY, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D2285312
  • Address: 41 MAGNA WAY
    SUITE 100
    WESTMINSTER, MD
    ZIP 21157
  • Phone: (410) 751-6684

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NPI Details

LIFEBRIDGE MULTI-SPECIALTY, LLC is a family medicine in Westminster, 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 MULTI-SPECIALTY, LLC NPI is 1972978625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 MAGNA WAY
SUITE 100
WESTMINSTER, MD
ZIP 21157-073
Phone: (410) 751-6684
Fax: (410) 751-2371

The provider's authorized official is Mary R Wright-sisk .
The authorized official title is Director and has the following contact phone number (410) 701-4439.

The CLIA number assigned to this NPI record is 21D2285312 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

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 MedicineYes

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: 11/21/2025

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