# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851677181
- **Authorized official:** ANTWINA STEGER (AO)
- **Authorized official phone:** (667) 204-7051

## Contact information

- **Practice address:** 4175 N HANSON CT STE 209, BOWIE, MD 20716-3184
- **Practice address phone:** (443) 481-1000
- **Mailing address:** PO BOX 412752, BOSTON, MA 02241-2752
- **Mailing address phone:** (443) 481-6467
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 10/17/2024