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

Lifebridge Community Physicians, Inc

Organization Nutrition Education Nutritionist · NPI 1588093652

Lifebridge Community Physicians, Inc is a Nutrition Education Nutritionist in Randallstown, Maryland. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Old Court Rd Ste 300B
Randallstown, MD 21133-5126
Phone: (410) 521-7337
Fax: (410) 521-7377
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1588093652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Potomac Professionals
NPI enumeratedNovember 8, 2013
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address5400 Old Court Rd Ste 300b, Randallstown, MD 21133-5126