Organization
THE LOUNGE HOLDINGS LLC
Active
Other names
The Lounge Aesthetics and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LEELA STUART (OWNER)
(530) 570-1814
Entity
Organization
Contact information
Practice address
185 SW SHEVLIN HIXON DR STE 101, BEND, OR 97702-3263
(541) 236-2282
Mailing address
185 SW SHEVLIN HIXON DR STE 101, BEND, OR 97702-3263
(541) 236-2282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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