# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAMG Chesapeake Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407227598
- **Authorized official:** STEPHEN L CLARKE (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6476

## Contact information

- **Practice address:** 401 PURDY ST, SUITE 102, EASTON, MD 21601-4060
- **Practice address phone:** (410) 820-0039
- **Practice address fax:** (410) 820-0039
- **Mailing address:** PO BOX 12622, BELFAST, ME 04915-4017
- **Mailing address phone:** (443) 481-6476
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D76431 | MD | Yes |
| 367A00000X | Advanced Practice Midwife | R217803 | MD | — |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 05/24/2021