Active NPI
Belle Lumiere Cosmetics LLC
- Dermatology Physician
- Lawrenceville, GA
National Provider Identifier
1205308616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BELLE LUMIERE COSMETICS LLC
- Practice address
- 753 Old Norcross Road,
Lawrenceville, GA 30046 - Phone
- (678) 349-2676
- NPI assigned
- Dec 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin L Patterson
- Title
- Owner
- Phone
- (888) 756-6999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
753 Old Norcross Road,
Lawrenceville, GA 30046
Mailing address
3992 Laurel Bend Dr
Snellville, GA 30039-4122
Phone (678) 349-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255382701 | Other | INDIVIDUAL NPI# |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545609600000",
"number": "1205308616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3992 LAUREL BEND DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300394122",
"telephone_number": "678-349-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 OLD NORCROSS ROAD,",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "678-349-2676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLE LUMIERE COSMETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-24",
"last_updated": "2018-12-24",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-756-6999"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI#",
"identifier": "1255382701",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.