| Luminis Health Medical Group, Llc | |
|
8200 Good Luck Rd Lanham MD 20706-3511 | |
| (301) 623-4350 | |
| Not Available |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8200 Good Luck Rd, Lanham, Maryland |
| Authorized Official Name and Position | Peter Odenwald (VICE PRESIDENT BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4434811000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc 201 Defense Hwy Ste 150 Annapolis MD 21401-8953 Ph: (443) 481-6476 | Luminis Health Medical Group, Llc 8200 Good Luck Rd Lanham MD 20706-3511 Ph: (301) 623-4350 |
| NPI Number | 1104051440 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104051440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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