Lifebridge Community Physicians Inc

Surgery · Randallstown, MD

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At a glance

5415 Old Court Rd, Randallstown, MD 21133-5170

NPPES record updated Mar 14, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

5415 Old Court Rd
Randallstown, MD 21133-5170
Professional details: NPI, taxonomy & registry record
NPI1356141956
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Registry details

Primary taxonomy
Surgery
Taxonomy code
208600000X
Enumeration date
Mar 14, 2025
Record updated
Mar 14, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Surgery

208600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5415 Old Court Rd
Randallstown, MD 21133-5170
Phone
(410) 469-5555
Fax
(410) 469-4811
Mailing address
5415 OLD COURT RD

RANDALLSTOWN, MD 211335170
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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