# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Annapolis Oncology Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699332197
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 1106 ANNAPOLIS RD STE 210, ODENTON, MD 21113-1740
- **Practice address phone:** (410) 573-5300
- **Mailing address:** PO BOX 12622, BELFAST, ME 04915-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 05/24/2021