# LUMINIS HEALTH MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1134540693
- **Authorized official:** MELISSA RAPATTONI (AO)
- **Authorized official phone:** (443) 481-5136

## Contact information

- **Practice address:** 1630 MAIN ST STE 101, CHESTER, MD 21619-2792
- **Practice address phone:** (410) 604-6560
- **Mailing address:** 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2013
- **Last updated:** 10/17/2024