Organization · Type 2 NPI
Luminis Health Community Clinics, LLC
Addiction Medicine (Preventive Medicine) Physician · Annapolis, MD
NPI number
1164346805
Active
Practice location
1750 Forest Dr
Annapolis, MD 21401-4211
Mailing address
2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3 other providers at this address
Other addiction medicine (preventive medicine) physician providers in Annapolis
About NPI 1164346805
Luminis Health Community Clinics, LLC's National Provider Identifier is 1164346805, issued on Aug 6, 2026. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Annapolis, MD. The record was last updated on Aug 6, 2026.