Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 623-4350
Mailing address
201 DEFENSE HWY STE 150, ANNAPOLIS, MD 21401-8953
(443) 481-6476
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
283Q00000X
Psychiatric Hospital
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/15/2009
Last updated
10/16/2024
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