NPI 1285986588

Luminis Health Medical Group, LLC

Organisation Registered Dietitian Annapolis, MD

Practice location

Address: 2000 Medical Pkwy Suite 600, Annapolis, MD 21401-3742
Phone: (443) 481-6699
Fax: (443) 481-6713
Mailing address: PO Box 62740, Baltimore, MD 21264-2740

Authorised official

Name: Stephen Clarke
Title: Vice President
Phone: (443) 481-6476

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D02390 (MD)

Other Dietitian, Registered providers in Maryland →

Registry record

NPI: 1285986588
Entity type: Organization
NPI issued: 10 Oct 2012
Record last updated: 24 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.