Organization
LENICKS AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA NICKOLAS FNP-BC (OWNER/CEO)
(602) 888-6970
Entity
Organization
Contact information
Practice address
2601 N 3RD ST STE 212, PHOENIX, AZ 85004-1145
(602) 245-6673
Mailing address
2601 N 3RD ST STE 212, PHOENIX, AZ 85004-1145
(602) 888-6970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/30/2026
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