| NPI | 1912364076 |
|---|---|
| Other Name | LIFEBRIDGE HEALTH PRIMARY CARE AT LIBERTY ROAD |
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2024-08-21 |