LUXE COSMETIC SURGERY LLC NPI 1922863067

NPI Information

  • NPI: 1922863067
  • Provider Name: LUXE COSMETIC SURGERY LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • CLIA Number: 19D2301901
  • Address: 3704 NORTH BLVD STE 3
    ALEXANDRIA, LA
    ZIP 71301
  • Phone: (318) 206-5893

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NPI Details

LUXE COSMETIC SURGERY LLC is a plastic and reconstructive surgery surgery in Alexandria, LA. The provider is a surgeon who specializes in plastic and reconstructive surgery. LUXE COSMETIC SURGERY LLC NPI is 1922863067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3704 NORTH BLVD STE 3
ALEXANDRIA, LA
ZIP 71301-658
Phone: (318) 206-5893

The provider's authorized official is Jody Michael Johnson .
The authorized official title is Medical Director and has the following contact phone number (606) 331-2521.

The CLIA number assigned to this NPI record is 19D2301901 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2024 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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