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 provides Pediatrics Physician services 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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