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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
Erin Peisach, RD
Organization subpart
No

Provider details

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

Contact information

Practice address
2000 MEDICAL PKWY, SUITE 605, ANNAPOLIS, MD 21401-3742
(410) 266-5667
(410) 266-9332
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6460
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/15/2014
Last updated
05/24/2021
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