| NPI | 1861380768 |
|---|---|
| Other Name | LIFEBRIDGE HEALTH ENT, SINUS & ALLERGY CENTER AT LOCH RAVEN |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |