Betsy Luxford, M.D.
Individual provider Active NPI Psychiatry Physician · Stanley, WI
NPI 1487799706 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487799706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 34002-020 (WI)
- Practice address
- 100 Corrections Dr
Attn Hsu
Stanley, WI 54768-6500 - Phone
- (715) 644-3764
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002-020 | WI | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34002-020 | WI | Yes |
Addresses
Primary practice location
100 Corrections Dr
Attn Hsu
Stanley, WI 54768-6500
Mailing address
100 Corrections Drive
Attn Hsu
Stanley, WI 54768-6500
Other providers in Stanley, WI
- Jahoon Koo
- Victoria Kramar
- Joleen Lamarche
- Mary Larue
- Benjamin Roger Lawrence
- Karyn Nitz
- Laurie Lee Norstedt
- Northwoods Family Eyecare, LLC
- Alzada E Oemig
- Dwight W Perkins
All providers in Stanley, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.