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Organization
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
Active
Organization
A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC
Active
Parent organization
A4 SPECIALTY MEDICAL GROUP LLC
Other names
LUX Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
A4 SPECIALTY MEDICAL GROUP LLC
Authorized official
EDWARD P KRAMM (CHIEF EXECUTIVE OFFICER)
(913) 515-6719
Entity
Organization
Contact information
Practice address
282 BENTLEY TRUST RD STE 102, FAIRBANKS, AK 99701-1754
(907) 744-1944
(907) 921-7669
Mailing address
855 SW 78TH AVE # C200, PLANTATION, FL 33324-3223
(907) 744-1944
(907) 921-7669
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/16/2024
Last updated
08/24/2026
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