# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anne Arundel Medical Group- Pasadena Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063837490
- **Authorized official:** MELISSA RAPATTONI (AO)
- **Authorized official phone:** (443) 481-5136

## Contact information

- **Practice address:** 8109 RITCHIE HWY, SUITE 100, PASADENA, MD 21122-6917
- **Practice address phone:** (443) 270-8600
- **Practice address fax:** (443) 270-8990
- **Mailing address:** 201 DEFENSE HWY, ANNAPOLIS, MD 21401-8943
- **Mailing address phone:** (443) 481-1000
- **Mailing address fax:** (443) 481-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D27388 | MD | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 10/16/2024