Organization
THE LUX MEDSPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NICHOLE BERUBE NP (OWNER)
(612) 616-7731
Entity
Organization
Contact information
Practice address
502 DIVISION ST S, NORTHFIELD, MN 55057-2087
(612) 616-7731
Mailing address
2651 OAK LAWN DR, NORTHFIELD, MN 55057-3443
(612) 616-7731
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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