Luminis Health Medical Group, LLC

NPI #1477862308 in Annapolis, Maryland

Provider Information

NPI Number: 1477862308
Entity Type: Organization
Organization Name: Luminis Health Medical Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 27, 2010
Last Updated: May 24, 2021

Practice Location

Address: 1419 FOREST DR
City: Annapolis
State: Maryland
ZIP Code: 21403-1482
Phone: (410) 990-0050

Authorized Official

Name: STEPHEN L CLARKE
Title: VICE PRESIDENT- PHYSICIAN SERVICES
Phone: (443) 481-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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