# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821821968
- **Authorized official:** VERONICA KING (LHCE CVO MANAGER)
- **Authorized official phone:** (677) 204-7211

## Contact information

- **Practice address:** 175 HARRY S TRUMAN PKWY, ANNAPOLIS, MD 21401-7573
- **Practice address phone:** (410) 573-9000
- **Mailing address:** 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
- **Mailing address phone:** (443) 481-5136
- **Mailing address fax:** (443) 481-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 08/27/2024