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Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Surgical Specialists at AAMC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 600, ANNAPOLIS, MD 21401-3742
(443) 481-6699
(443) 481-6713
Mailing address
PO BOX 62740, BALTIMORE, MD 21264-2740
(443) 481-6538
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02390
MD
Other
Enumeration date
10/10/2012
Last updated
05/24/2021
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