Organization
BELLE LUMIERE COSMETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L PATTERSON (OWNER)
(888) 756-6999
Entity
Organization
Contact information
Practice address
753 OLD NORCROSS ROAD,, LAWRENCEVILLE, GA 30046
(678) 349-2676
Mailing address
3992 LAUREL BEND DR, SNELLVILLE, GA 30039-4122
(678) 349-2676
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255382701
INDIVIDUAL NPI#
—
Enumeration date
12/24/2018
Last updated
12/24/2018
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