Organization
LUXE PSYCHIATRIC AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNET BULAMBO CNP (OWNER)
(575) 840-4888
Entity
Organization
Contact information
Practice address
613 W 2ND ST STE 3, ROSWELL, NM 88201-4671
(210) 900-0729
(575) 627-5721
Mailing address
401 MISSION ARCH DR, ROSWELL, NM 88201-6792
(575) 840-4888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
03/14/2020
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