# AESTHETIC LUXURY SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AESTHETIC LUXURY SPA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518611904
- **Authorized official:** LASHAN ALLEN (NURSE PRACTITIONER)
- **Authorized official phone:** (816) 577-1200

## Contact information

- **Practice address:** 2321 TROOST AVE STE 101, KANSAS CITY, MO 64108-2834
- **Practice address phone:** (816) 200-2409
- **Practice address fax:** (816) 320-0028
- **Mailing address:** 17201 E 40 HWY STE 114, INDEPENDENCE, MO 64055-6437
- **Mailing address phone:** (816) 886-2227
- **Mailing address fax:** (816) 886-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2022
- **Last updated:** 09/11/2025