Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifebridge Community Pediatrics, LLC

Organization Pediatrics Physician · NPI 1629495528

Lifebridge Community Pediatrics, LLC is a Pediatrics Physician in Towson, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

849 Fairmont Ave Ste 100A
Towson, MD 21286-2600
Phone: (410) 494-1369
Fax: (410) 494-2737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (MD)

Record details

NPI number1629495528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (410) 521-2200
Other names Main Street Pediatrics; Main Street Pediatrics
NPI enumeratedMarch 28, 2014
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address849 Fairmount Ave Ste 100a, Towson, MD 21286-2600

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