NPI 1518611904
Aesthetic Luxury Spa LLC
Practice location
- Address
- 2321 Troost Ave STE 101, Kansas City, MO 64108-2834
- Phone
- (816) 200-2409
- Fax
- (816) 320-0028
- Mailing address
- 17201 E 40 Hwy STE 114, Independence, MO 64055-6437
Authorised official
- Name
- Lashan Allen
- Title
- Nurse Practitioner
- Phone
- (816) 577-1200
Registered specialties
Clinical Laboratory Director (Non-physician)
Primary
Registry record
- NPI
- 1518611904
- Entity type
- Organization
- NPI issued
- 5 Feb 2022
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.