Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
LH Primary Care North Hanson
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
4175 N HANSON CT STE 104, BOWIE, MD 20716-3179
(443) 481-1000
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
(443) 481-5144
(443) 481-4151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720835010
INTERNAL MEDICINE, FAMILY MEDICINE
MD
Enumeration date
05/03/2024
Last updated
11/05/2024
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