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Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMC's Women's Center for Pelvic Health
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (REIMBURSEMENT ADMINISTRATORS)
(443) 481-6415
Entity
Organization
Contact information
Practice address
1106 ANNAPOLIS RD STE 220, ODENTON, MD 21113-1740
(443) 481-1199
(443) 481-1495
Mailing address
201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
(443) 481-5310
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
05/24/2021
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