Provider Demographics
NPI:1679743991
Name:LUX, DENISE LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LYNN
Last Name:LUX
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:211 RACHEL COOPER HALL
Mailing Address - Street 2:SPEECH AND HEARING CLINIC IL STATE UNIVERSITY
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61791-4720
Mailing Address - Country:US
Mailing Address - Phone:309-438-8641
Mailing Address - Fax:309-438-5221
Practice Address - Street 1:211 RACHEL COOPER HALL
Practice Address - Street 2:SPEECH AND HEARING CLINIC IL STATE UNIVERSITY
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61791-4720
Practice Address - Country:US
Practice Address - Phone:309-438-8641
Practice Address - Fax:309-438-5221
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist