| NPI | 1093205841 |
|---|---|
| Other Name | LIFEBRIDGE HEALTH SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0060491) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0060491) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0060491) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0060491) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2025-03-19 |