# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Maternal and Fetal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992255905
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 505 DUTCHMANS LN, EASTON, MD 21601-4302
- **Practice address phone:** (410) 224-4442
- **Practice address fax:** (410) 224-8898
- **Mailing address:** 201 DEFENSE HWY, SUITE 100, ANNAPOLIS, MD 21401-8943
- **Mailing address phone:** (443) 481-3354
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | MD | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 05/24/2021