Organization
LUXE COSMETIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MICHAEL JOHNSON DO (MEDICAL DIRECTOR)
(606) 331-2521
Entity
Organization
Contact information
Practice address
3704 NORTH BLVD STE 3, ALEXANDRIA, LA 71301-3658
(318) 206-5893
Mailing address
426 N MONROE ST, MARKSVILLE, LA 71351-2356
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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