| Luminis Health Medical Group, Llc | |
|
1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | |
| (301) 925-7610 | |
| (301) 925-7619 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1450 Mercantile Ln, Largo, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831640465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D02332 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc Po Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6476 | Luminis Health Medical Group, Llc 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 Ph: (301) 925-7610 |
Mary Kathleen Mcfalls, M.S.,R.D., L.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Ms. Jennifer Ansio Headley-bunns, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Kettering Dr, Largo, MD 20774 Phone: 301-336-6980 Fax: 301-808-7964 | |
Good Health Nutrition Services Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1300 Mercantile Ln Ste 129-37, Largo, MD 20774 Phone: 301-341-4680 Fax: 301-341-4680 | |
Florence Ifeoma Omerennah, RD LD/N Dietitian Medicare: Medicare Enrolled Practice Location: 1300 Mercantile Ln Ste 129-37, Largo, MD 20774 Phone: 301-341-4680 |