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

Lifebridge Community Physicians, Inc

Organization Pediatrics Physician · NPI 1831457563

Lifebridge Community Physicians, Inc is a Pediatrics Physician in Lutherville, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
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

1205 York Rd Ste 18
Lutherville, MD 21093-6210
Phone: (410) 583-6800
Fax: (410) 583-5259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (MD)

Record details

NPI number1831457563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Vice President · (443) 422-9941
Other names Drs Gouel, Blotny And Sullivan; Drs Gouel, Blotny And Sullivan
NPI enumeratedMay 1, 2012
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address1205 York Rd, Suite 18, Lutherville, MD 21093-6210

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