Organization
LUX PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA U OLADIPO MSN, APRN (OWNER OF ENTITY)
(346) 481-3421
Entity
Organization
Contact information
Practice address
3800 AMERICAN BLVD W STE 1500, BLOOMINGTON, MN 55431-4429
(346) 481-3421
(502) 385-6589
Mailing address
3800 AMERICAN BLVD W STE 1500, BLOOMINGTON, MN 55431-4429
(346) 481-3421
(502) 385-6589
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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