Individual
MICHELLE LUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 W DAKOTA PKWY, WILLISTON, ND 58801-3885
(701) 572-6757
(701) 774-3532
Mailing address
416 21ST ST E, WILLISTON, ND 58801-3567
(701) 572-2155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
970
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51336
—
ND
Enumeration date
02/21/2007
Last updated
07/09/2007
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