Healthcare Provider Details

I. General information

NPI: 1316862527
Provider Name (Legal Business Name): LUX HEALTH PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FRANK LEARY WAY UNIT 1
RANDOLPH MA
02368-4503
US

IV. Provider business mailing address

1 FRANK LEARY WAY UNIT 1
RANDOLPH MA
02368-4503
US

V. Phone/Fax

Practice location:
  • Phone: 617-406-7602
  • Fax: 734-264-9903
Mailing address:
  • Phone: 617-406-7602
  • Fax: 734-264-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARINE M LUXAMA
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 617-406-7602