# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ORTHO AND SPORTS MEDICINE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780824615
- **Authorized official:** MELISSA RAPATTONI (AO)
- **Authorized official phone:** (443) 481-5136

## Contact information

- **Practice address:** 2000 MEDICAL PKWY, SUITE 101, ANNAPOLIS, MD 21401-3742
- **Practice address phone:** (410) 268-8862
- **Practice address fax:** (410) 268-0380
- **Mailing address:** 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
- **Mailing address phone:** (434) 815-1364
- **Mailing address fax:** (443) 481-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 02/03/2025
