Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VP)
(443) 481-6415
Entity
Organization
Contact information
Practice address
4175 N HANSON CT STE 301&302, BOWIE, MD 20716-3186
(240) 296-5325
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
06/07/2022
Last updated
02/16/2026
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