Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VP BUSINESS DEVELOPMENT)
(443) 481-1000
Entity
Organization
Contact information
Practice address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 623-4350
Mailing address
201 DEFENSE HWY STE 150, ANNAPOLIS, MD 21401-8953
(443) 481-6476
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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