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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
Anne Arundel Medical Group-Severna Park Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-6549
Entity
Organization

Contact information

Practice address
474B RITCHIE HWY, SEVERNA PARK, MD 21146-2911
(410) 544-2940
(410) 544-2960
Mailing address
474B RITCHIE HWY, SEVERNA PARK, MD 21146-2911
(410) 544-2940
(410) 544-2960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/02/2015
Last updated
05/24/2021
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