NPI 1073401972

Lifebridge Community Physicians INC

Organisation Otolaryngology Physician Frederick, MD

Practice location

Address: 4991 New Design Rd STE 103, Frederick, MD 21703-7342
Phone: (443) 289-3459
Fax: (443) 289-3488

Authorised official

Name: Mary Rebecca Wright-Sisk
Title: Director
Phone: (434) 229-9414

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Maryland →

Registry record

NPI: 1073401972
Entity type: Organization
NPI issued: 27 Jun 2025
Record last updated: 27 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.