| Luminis Health Medical Group, Llc | |
|
1460 Ritchie Hwy Suite 202 Arnold MD 21012-2497 | |
| (410) 757-6327 | |
| (410) 757-8461 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1460 Ritchie Hwy, Arnold, Maryland |
| Authorized Official Name and Position | Steve Clarke (VICE PRESIDENT) |
| Authorized Official Contact | 4434816476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc Po Box 12622 Belfast ME 04915-4017 Ph: (443) 481-5047 | Luminis Health Medical Group, Llc 1460 Ritchie Hwy Suite 202 Arnold MD 21012-2497 Ph: (410) 757-6327 |
| NPI Number | 1023085222 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023085222 | NPI | - | NPPES |
| 407175118 | Medicaid | MD | |
| K642 | Other | DC | BCBS |
| 954BAR | Other | MD | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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