# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANNE ARUNDEL PHYSICIAN GROUP LLC
- **Other names:** ANNAPOLIS CENTER FOR INTEGRATIVE MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588682389
- **Legal business name:** ANNE ARUNDEL PHYSICIAN GROUP LLC
- **Authorized official:** MR. STEPHEN CLARKE (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-1000

## Contact information

- **Practice address:** 2009 TIDEWATER COLONY, SUITE 2A, ANNAPOLIS, MD 21401
- **Practice address phone:** (410) 224-0010
- **Practice address fax:** (410) 224-0012
- **Mailing address:** PO BOX 12622, BELFAST, ME 04915-4017
- **Mailing address phone:** (443) 481-6483
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0018529 | MD | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 05/24/2021