Provider / Organization | NPI | Date Certified |
---|---|---|
LUMINIS HEALTH MEDICAL GROUP, LLC | 1295006922 | 2023-02-22 |
The organization Luminis Health Medical Group, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1295006922. Registration indicates Luminis Health Medical Group, Llc is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
Address | City / State | Phone / Fax |
---|---|---|
8116 Good Luck Rd | Lanham, MD 207063502 | 4434811000 |
28438 Marlboro Ave | Easton, MD 216012732 | 4434811000 |
2001 Medical Pkwy | Annapolis, MD 214013773 | 4434811000 |
8118 Good Luck Rd | Lanham, MD 207063574 | 4434811000 |
Code | Practice | License No State |
---|---|---|
208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | |
193200000X MULT | Group Code |
407175133 | MEDICAID | MD |