| NPI | 1740027358 |
|---|---|
| Other Name | LIFEBRIDGE PEDIATRICS AT LOCH RAVEN 8000 LOCH RAVEN BLVD |
| Entity Type | Organization |
| Authorized Contact | CHARLES B EFIRD Director 410-601-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |