# AURAE MEDSPA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366292096
- **Authorized official:** LAURA GLASER DNP, APRN, FNP-BC (CEO)
- **Authorized official phone:** (843) 212-6788

## Contact information

- **Practice address:** 1421 SHUCKER CIR STE 1120, MOUNT PLEASANT, SC 29464-4978
- **Practice address phone:** (843) 212-6788
- **Mailing address:** PO BOX 1779, MOUNT PLEASANT, SC 29465-1779
- **Mailing address phone:** (843) 212-6788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 03/25/2024