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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
Sharon M Messics MD
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-1000
Entity
Organization

Contact information

Practice address
821 W BENFIELD RD, SUITE 8, SEVERNA PARK, MD 21146-2220
(410) 729-0660
(410) 729-0599
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6460
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407175120
MD
01
FNB1SM
BCBS
01
H651
BCBS
Enumeration date
04/08/2008
Last updated
05/24/2021
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