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Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group - Kent Island Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
1630 MAIN ST STE 101, CHESTER, MD 21619-2792
(410) 604-6560
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
10/17/2024
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