# LUMINIS HEALTH MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LH Primary Care North Hanson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720835010
- **Authorized official:** MELISSA RAPATTONI (AO)
- **Authorized official phone:** (443) 481-5136

## Contact information

- **Practice address:** 4175 N HANSON CT STE 104, BOWIE, MD 20716-3179
- **Practice address phone:** (443) 481-1000
- **Mailing address:** 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
- **Mailing address phone:** (443) 481-5144
- **Mailing address fax:** (443) 481-4151

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 11/05/2024