Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group Largo Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774-5376
(301) 925-7610
(301) 925-7619
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175153
—
MD
Enumeration date
09/13/2013
Last updated
10/17/2024
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