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Contact Information

LIFEBRIDGE HEALTH AND FITNESS LLC
1836 GREENE TREE RD
BALTIMORE, MD21208-1381
 Phone: 410-484-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Rehabilitation: Cardiac Facilities

261QR0404X
Indicates primary specialty

NPI Profile & details for LIFEBRIDGE HEALTH AND FITNESS LLC · (Female)

NPI Number 1013117241
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2007
Last updated 09/12/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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