Provider Demographics
NPI:1801965454
Name:LUX, ROBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:LUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:36 CLINTON ST
Mailing Address - Street 2:NEW HAMPSHIRE HOSPITAL
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-271-5345
Mailing Address - Fax:603-271-5793
Practice Address - Street 1:36 CLINTON ST
Practice Address - Street 2:NEW HAMPSHIRE HOSPITAL
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-271-5345
Practice Address - Fax:603-271-5793
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH9951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99999999Medicaid
NH9951OtherMEDICAL LIC #
NH9951OtherMEDICAL LIC #
NHRE1970Medicare ID - Type Unspecified
NH99999999Medicaid