Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group Behavioral Health Specialists
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
(443) 481-6515
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
(434) 815-1364
(443) 481-4151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
D55981
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175139
—
MD
Enumeration date
09/19/2012
Last updated
10/17/2024
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