| NPI | 1588484513 |
|---|---|
| Other Name | LIFEBRIDGE PEDIATRICS AT LOCH RAVEN-CARROLL |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-523-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |