Individual
KEVIN MICHAEL LUX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
(319) 362-6994
(319) 368-3399
Mailing address
7128 CHOCTAW RIDGE RD NE, CEDAR RAPIDS, IA 52411-7875
(319) 396-6945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1858
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241521
—
IA
01
—
52020
WELLMARK
IA
Enumeration date
06/15/2005
Last updated
07/08/2007
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