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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
Advanced Internal Medicine Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization

Contact information

Practice address
2003 MEDICAL PKWY STE 350, ANNAPOLIS, MD 21401-3081
(443) 481-5618
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
(443) 481-5618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MD
Enumeration date
03/25/2020
Last updated
10/16/2024
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