| NPI | 1518767201 |
|---|---|
| Other Name | LIFEBRIDGE POTOMAC PROFESSIONALS AT SECURITY |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |