NPI | 1720873896 |
---|---|
Doing Business As | LUX PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | OLIVIA GRAYSON Pmhnp 612-405-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |