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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