Luminis Health Medical Group, LLC
Orthopaedic Surgery in Lanham, MD. Organization (NPI-2).
NPI number1104664697
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1104664697
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminis Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
8118 Good Luck RdLanham, MD 20706-3574
Phone 443-481-1000
Mailing address
2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746
Phone 443-481-5136
Authorized official
Melissa Rapattoni
Ao
4434815136
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