Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMC Retinopathy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1267
BCBS
—
05
—
412539800
—
MD
01
—
44DPAA
BCBS
—
Enumeration date
05/21/2007
Last updated
10/17/2024
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