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Individual
JEFFREY S LUX
Active
Individual
JEFFREY S LUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD097R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1391174
—
LA
01
—
40937
BLUE CROSS
LA
Enumeration date
04/05/2006
Last updated
06/29/2009
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