Provider Demographics
NPI:1629826219
Name:LUX MEDICAL SERVICES
Entity type:Organization
Organization Name:LUX MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARNOOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGARZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-200-6041
Mailing Address - Street 1:10388 DUNSFORD DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9796
Mailing Address - Country:US
Mailing Address - Phone:720-270-7859
Mailing Address - Fax:702-447-6464
Practice Address - Street 1:10388 DUNSFORD DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9796
Practice Address - Country:US
Practice Address - Phone:720-270-7859
Practice Address - Fax:702-447-6464
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUX MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty