| Luminis Health Medical Group, Llc | |
|
1630 Main St Ste 101 Chester MD 21619-2792 | |
| (443) 481-1000 | |
| (443) 481-4151 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1630 Main St Ste 101, Chester, Maryland |
| Authorized Official Name and Position | Melissa Rapattoni (AO) |
| Authorized Official Contact | 4434815136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc 2000 Medical Pkwy Ste 409 Annapolis MD 21401-3746 Ph: (443) 481-5136 | Luminis Health Medical Group, Llc 1630 Main St Ste 101 Chester MD 21619-2792 Ph: (443) 481-1000 |
| NPI Number | 1326819525 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326819525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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