Provider Demographics
NPI:1043039324
Name:THE WELL AESTHETICS AND WELLNESS PLLC
Entity type:Organization
Organization Name:THE WELL AESTHETICS AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, APRN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:405-412-7788
Mailing Address - Street 1:9996 W US HIGHWAY 50 STE 1071
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-9811
Mailing Address - Country:US
Mailing Address - Phone:719-626-4389
Mailing Address - Fax:
Practice Address - Street 1:106 OLD STAGE RD UNIT A
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-8938
Practice Address - Country:US
Practice Address - Phone:719-626-4389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center