# A4 SPECIALTY MEDICAL GROUP FAIRBANKS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A4 SPECIALTY MEDICAL GROUP LLC
- **Other names:** LUX Infusion
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134990336
- **Legal business name:** A4 SPECIALTY MEDICAL GROUP LLC
- **Authorized official:** EDWARD P KRAMM (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (913) 515-6719

## Contact information

- **Practice address:** 282 BENTLEY TRUST RD STE 102, FAIRBANKS, AK 99701-1754
- **Practice address phone:** (907) 744-1944
- **Practice address fax:** (907) 921-7669
- **Mailing address:** 855 SW 78TH AVE \# C200, PLANTATION, FL 33324-3223
- **Mailing address phone:** (907) 744-1944
- **Mailing address fax:** (907) 921-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 08/24/2026