Provider Demographics
NPI:1427199744
Name:FOX, LOUIS L JR (LCP)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:L
Last Name:FOX
Suffix:JR
Gender:M
Credentials:LCP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10299 WOODMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-4419
Mailing Address - Country:US
Mailing Address - Phone:804-727-8500
Mailing Address - Fax:804-727-8580
Practice Address - Street 1:4301 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23273-0001
Practice Address - Country:US
Practice Address - Phone:804-501-4590
Practice Address - Fax:804-501-5804
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810001722103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA018871H79Medicare PIN