| NPI | 1053124768 |
|---|---|
| Other Name | LIFEBRIDGE POTOMAC PROFESSIONALS AT CROSSROADS |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-623-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |