Lord and Lady Wellness & Aesthetics

NPI #1821726191 in Northlake, Texas

Provider Information

NPI Number: 1821726191
Entity Type: Organization
Organization Name: Lord and Lady Wellness & Aesthetics
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 12, 2022
Last Updated: Aug 17, 2022

Practice Location

Address: 5001 TX 114
Address 2: APT 4102
City: Northlake
State: Texas
ZIP Code: 76262
Phone: (817) 918-8725

Authorized Official

Name: FARRAH CHRISTIAN, NP
Title: OWNER
Phone: (817) 751-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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