BLEU MED SPA & LASER CLINIC, LLC; NPI #1225744642

Contact Information

BLEU MED SPA & LASER CLINIC, LLC

3769 PONTCHARTRAIN DR STE 5
SLIDELL, LA 70458-4852

Phone: 985-201-9976
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BLEU MED SPA & LASER CLINIC, LLC

NPI #	`1225744642`
LBN Legal business name	BLEU MED SPA & LASER CLINIC, LLC
Authorized official	MELISSA MITRIK - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/30/2023
Last updated	02/03/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLEU MED SPA & LASER CLINIC, LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for BLEU MED SPA & LASER CLINIC, LLC

Reviews for BLEU MED SPA & LASER CLINIC, LLC