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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ODENWALD (DIRECTOR)
(443) 481-6415
Entity
Organization

Contact information

Practice address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743
(410) 268-8862
Mailing address
2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 21401-3743

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/31/2022
Last updated
05/04/2026
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