Organization
SKIN10, LLC
Active
Other names
Skin10 Rejuvenating Med Spa, Ryze Ventures, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCE LAURIE (OFFICE MANAGER)
(225) 978-8444
Entity
Organization
Contact information
Practice address
3266 DRUSILLA LN STE A-6, BATON ROUGE, LA 70809-1862
(225) 335-6800
(225) 325-3470
Mailing address
3266 DRUSILLA LN STE A-6, BATON ROUGE, LA 70809-1862
(225) 335-6800
(225) 325-3470
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
—
—
207N00000X
Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
225700000X
Massage Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740969013
—
LA
05
—
1760280259
—
LA
Enumeration date
10/03/2024
Last updated
09/09/2025
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