Individual
MARCIA L. LUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 EAST BROADWAY BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(888) 329-5701
Mailing address
625 EAST BROADWAY BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(888) 329-5701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9015A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133350000
—
WY
Enumeration date
06/30/2006
Last updated
02/15/2021
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