Organization
LUX WELLNESS LLC
Active
Other names
Evergreen Wellness Studios
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN MARIE DONBAR D.C. (OWNER)
(208) 895-8595
Entity
Organization
Contact information
Practice address
1640 W CHERRY LN, SUITE 130, MERIDIAN, ID 83642-8187
(208) 895-8595
(208) 895-8594
Mailing address
1640 W CHERRY LN, SUITE 130, MERIDIAN, ID 83642-8187
(208) 895-8595
(208) 895-8594
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
CHIA 1555
ID
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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