Provider Demographics
NPI:1699573709
Name:LUX ELECTROLYSIS STUDIO, INC.
Entity type:Organization
Organization Name:LUX ELECTROLYSIS STUDIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SNELLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LE
Authorized Official - Phone:831-760-5833
Mailing Address - Street 1:395 DEL MONTE CTR # 206
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6156
Mailing Address - Country:US
Mailing Address - Phone:831-760-5833
Mailing Address - Fax:
Practice Address - Street 1:1010 CASS ST STE C2
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4515
Practice Address - Country:US
Practice Address - Phone:831-760-5833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty