Organization
LYMPHATIC AESTHETICS L. A. WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDREA TONIKA LONG APRN (OWNER)
(386) 316-4713
Entity
Organization
Contact information
Practice address
3376 MCCORMICK WOODS DR., OCOEE, FL 34761-4443
(305) 791-4262
(305) 402-6471
Mailing address
3376 MCCORMICK WOODS DR., OCOEE, FL 34761-4443
(305) 791-4262
(305) 402-6471
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
02/12/2022
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