Organization
AESTHETIC LUXURY SPA LLC
Active
Other names
AESTHETIC LUXURY SPA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAN ALLEN (NURSE PRACTITIONER)
(816) 577-1200
Entity
Organization
Contact information
Practice address
2321 TROOST AVE STE 101, KANSAS CITY, MO 64108-2834
(816) 200-2409
(816) 320-0028
Mailing address
17201 E 40 HWY STE 114, INDEPENDENCE, MO 64055-6437
(816) 886-2227
(816) 886-2227
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863097642
—
MO
Enumeration date
02/05/2022
Last updated
09/11/2025
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