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Contact Information

LUMINIS HEALTH MEDICAL GROUP, LLC
1630 MAIN ST
SUITE 213
CHESTER, MD21619-2791
 Phone: 410-266-9966
 Fax: 410-266-6819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LUMINIS HEALTH MEDICAL GROUP LLC · (Female)

NPI Number 1700113776
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2009
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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