National Provider Identifier Database

LUMINIS HEALTH MEDICAL GROUP LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

LUMINIS HEALTH MEDICAL GROUP, LLC
2401 BRANDERMILL BLVD
SUITE 200
GAMBRILLS, MD21054-1690
Phone: 410-451-0076
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LUMINIS HEALTH MEDICAL GROUP, LLC

NPI Number 1508995697
Legal business name
LBN
LUMINIS HEALTH MEDICAL GROUP, LLC
Authorized official STEPHEN CLARKE - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/05/2007
Last updated 05/24/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 407175111

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.

Reviews for LUMINIS HEALTH MEDICAL GROUP, LLC

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