| Luminis Health Medical Group, Llc | |
|
7611 Crain Hwy Ste 170 Upper Marlboro MD 20772-4258 | |
| (443) 481-1000 | |
| (443) 481-4151 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 7611 Crain Hwy Ste 170, Upper Marlboro, 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 7611 Crain Hwy Ste 170 Upper Marlboro MD 20772-4258 Ph: (443) 481-1000 |
| NPI Number | 1770354979 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770354979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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