# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAMC's Women's Center for Pelvic Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164088795
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 28438 MARLBORO AVE, EASTON, MD 21601-2732
- **Practice address phone:** (410) 822-2440
- **Mailing address:** PO BOX 12622, BELFAST, ME 04915-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 05/24/2021