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NPI Code Detail

MEDICARE: SARAH A LUX MD

MEDICARE:   SARAH A LUX  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD00029089WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110221314OTHERWARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23911LUOTHERWACOUNTY PROVIDER NUMBER
30149440OTHERWALABOR & INDUSTRIES
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912069527
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH A LUX MD
Provider Business Mailing Address
First Line : PO BOX 3360
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3425 ENSIGN RD NE STE 220
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5063
Country : US
Telephone Number : 360-493-5255
Fax Number : 360-493-4777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/16/2021

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Directions to “ SARAH A LUX MD” Practice Location

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