Organization
LUX ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD V LUX (OFFICE MANAGER)
(417) 624-2332
Entity
Organization
Contact information
Practice address
1307 W 20TH ST, JOPLIN, MO 64804-1700
(417) 624-2332
(417) 624-0599
Mailing address
1307 W 20TH ST, JOPLIN, MO 64804-1700
(417) 624-2332
(417) 624-0599
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100795140A
—
OK
01
—
106787
DME
MO
05
—
628632002
—
MO
Enumeration date
06/05/2007
Last updated
03/06/2017
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