Organization · Type 2 NPI

Luminis Health Medical Group, LLC

Plastic and Reconstructive Surgery Physician · Annapolis, MD

NPI number 1134416688 Active

Practice location

2000 Medical Pkwy, Suite 200
Annapolis, MD 21401-3742

Call (443) 481-3400 Map

Fax (443) 481-3315

Mailing address

PO Box 12622
Belfast, ME 04915-4017

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1134416688

Luminis Health Medical Group, LLC's National Provider Identifier is 1134416688, issued on Jul 6, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Annapolis, MD. The record was last updated on May 24, 2021.