NPI 1003883216

Luminis Health Medical Group, LLC

Organisation Surgery Physician Annapolis, MD

Practice location

Address: 2009 Tidewater Colony Way #2a, Annapolis, MD 21401-2127
Phone: (410) 571-9499
Fax: (410) 571-6486
Mailing address: PO Box 64421, Baltimore, MD 21264-4421

Authorised official

Name: Stephen Clarke
Title: Vice President
Phone: (443) 481-1000

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Maryland →

Registry record

NPI: 1003883216
Entity type: Organization
NPI issued: 7 Mar 2006
Record last updated: 21 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.