Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group-Neurology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT BUSINESS DEVELOPMENT)
(443) 481-6464
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY STE 510, ANNAPOLIS, MD 21401-3747
(443) 481-6700
Mailing address
PO BOX 412752, BOSTON, MA 02241-4017
(667) 204-7000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175122
—
MD
01
—
CF6JAS
BCBS
MD
01
—
X581
BCBS
DC
Enumeration date
08/10/2010
Last updated
01/26/2026
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