Provider Demographics
NPI:1326891003
Name:LUXENBERG, AARON MORRIS (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MORRIS
Last Name:LUXENBERG
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8757 AUBURN FOLSOM RD UNIT 2800
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-0350
Mailing Address - Country:US
Mailing Address - Phone:800-406-1120
Mailing Address - Fax:
Practice Address - Street 1:11750 W 2ND PL STE 360
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1756
Practice Address - Country:US
Practice Address - Phone:720-321-8470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999852-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care