Luminis Health Medical Group, LLC

NPI #1982671103 in Gambrills, Maryland

Provider Information

NPI Number: 1982671103
Entity Type: Organization
Organization Name: Luminis Health Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 7, 2006
Last Updated: May 24, 2021

Practice Location

Address: 2401 BRANDERMILL BLVD
Address 2: SUITE 250
City: Gambrills
State: Maryland
ZIP Code: 21054-1690
Phone: (410) 721-1507

Authorized Official

Name: MR. PETER ODENWALD
Title: VP
Phone: (443) 481-6415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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