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Luminis Health Medical Group, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
LUMINIS HEALTH MEDICAL GROUP, LLC12950069222023-02-22

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)

Other Names:
Entity TypeOrganization
Provider OrganizationLUMINIS HEALTH MEDICAL GROUP, LLC
Other Provider OrganizationSURGICAL SPECIALISTS AT AAMC
Practice Office Address2000 MEDICAL PKWY
STE 600
ANNAPOLIS, MD US
Practice Office Telephone4434816699
Practice Office Fax4434816713
Mailing AddressPO BOX 412752
BOSTON, MA 022412752 US
Business Telephone4434816538
Business Fax4434816515
Authorized OfficialSTEPHEN L CLARKE, VICE PRESIDENT
4434816476
Offices / Locations
AddressCity / StatePhone / 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
HPT Codes
CodePractice
License No
State
208600000X PRIMARY
Allopathic & Osteopathic Physicians
Surgery
Surgery

Specialist Network

Surgery
Allopathic & Osteopathic Physicians
193200000X MULTGroup Code
OPI Codes
407175133 MEDICAID MD
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