Luminis Health Medical Group, LLC
Obstetrics & Gynecology in Bowie, MD. Organization (NPI-2).
NPI number1851677181
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1851677181
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminis Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2011
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- Premier Ob/Gyn (Doing Business As)
Practice location
4175 N Hanson Ct Ste 209Bowie, MD 20716-3184
Phone 443-481-1000
Mailing address
Po Box 412752Boston, MA 02241-2752
Phone 443-481-6467 · Fax 443-481-6515
Other practice locations
8118 Good Luck Rd
Lanham, MD 20706-3574
Lanham, MD 20706-3574
Phone 443-481-1000
Authorized official
Antwina Steger
Ao
6672047051
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