| NPI | 1902287121 |
|---|---|
| Doing Business As | LIFEBRIDGE HEALTH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-08-27 |