Provider Demographics
NPI:1891132387
Name:LAUX, LINDSEY (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:LAUX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50726 WYMER LAKE LOOP
Mailing Address - Street 2:
Mailing Address - City:FRAZEE
Mailing Address - State:MN
Mailing Address - Zip Code:56544-8984
Mailing Address - Country:US
Mailing Address - Phone:612-670-6761
Mailing Address - Fax:
Practice Address - Street 1:50726 WYMER LAKE LOOP
Practice Address - Street 2:
Practice Address - City:FRAZEE
Practice Address - State:MN
Practice Address - Zip Code:56544-8984
Practice Address - Country:US
Practice Address - Phone:612-670-6761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12239-24225100000X
MN7992225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1851477913OtherCMH NPI
WI11014110Medicaid
WI1326349135OtherCMH SB NPI
WI11014110Medicaid
WI521310Medicare Oscar/Certification
WI1326349135OtherCMH SB NPI