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Organization
AESTHETIC LUXURY SPA LLC
Active
Organization
AESTHETIC LUXURY SPA LLC
Active
Other names
AESTHETIC LUXURY SPA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAN ALLEN (NURSE PRACTITIONER)
(816) 577-1200
Entity
Organization
Contact information
Practice address
2321 TROOST AVE STE 101, KANSAS CITY, MO 64108-2834
(816) 200-2409
(816) 320-0028
Mailing address
17201 E 40 HWY STE 114, INDEPENDENCE, MO 64055-6437
(816) 886-2227
(816) 886-2227
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
09/11/2025
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