| Luminis Health Medical Group, Llc | |
|
2000 Medical Pkwy Ste 510 Annapolis MD 21401-3747 | |
| (443) 481-6700 | |
| Not Available |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2000 Medical Pkwy Ste 510, Annapolis, Maryland |
| Authorized Official Name and Position | Stephen Clarke (VICE PRESIDENT BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4434816464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc Po Box 412752 Boston MA 02241-4017 Ph: (667) 204-7000 | Luminis Health Medical Group, Llc 2000 Medical Pkwy Ste 510 Annapolis MD 21401-3747 Ph: (443) 481-6700 |
| NPI Number | 1467767806 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467767806 | NPI | - | NPPES |
| X581 | Other | DC | BCBS |
| 407175122 | Medicaid | MD | |
| CF6JAS | Other | MD | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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