# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAMC's Women's Center for Pelvic Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992282446
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 2003 MEDICAL PKWY STE 150, ANNAPOLIS, MD 21401-0317
- **Practice address phone:** (443) 481-1199
- **Mailing address:** 201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
- **Mailing address phone:** (443) 481-5310
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 05/24/2021