NPI 1164813101

Lux Wellness LLC

Organisation Exclusive Provider Organization Meridian, ID

Practice location

Address: 1640 W Cherry Ln Suite 130, Meridian, ID 83642-8187
Phone: (208) 895-8595
Fax: (208) 895-8594

Authorised official

Name: Lauren Marie Donbar
Title: Owner
Phone: (208) 895-8595

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CHIA 1555 (ID)

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Registry record

NPI: 1164813101
Entity type: Organization
NPI issued: 12 Feb 2015
Record last updated: 12 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.