Provider Demographics
NPI:1629672423
Name:LUX CHIROPRACTIC & HEALTH LLC
Entity type:Organization
Organization Name:LUX CHIROPRACTIC & HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-356-4030
Mailing Address - Street 1:533 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-1860
Mailing Address - Country:US
Mailing Address - Phone:314-356-4030
Mailing Address - Fax:314-677-3816
Practice Address - Street 1:533 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119-1860
Practice Address - Country:US
Practice Address - Phone:314-356-4030
Practice Address - Fax:314-677-3816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty