Provider Demographics
NPI:1427836683
Name:ALL SEASONS AESTHETICS
Entity type:Organization
Organization Name:ALL SEASONS AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-808-7307
Mailing Address - Street 1:716 RIDGEMONT PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5583
Mailing Address - Country:US
Mailing Address - Phone:720-808-7307
Mailing Address - Fax:
Practice Address - Street 1:716 RIDGEMONT PL
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5583
Practice Address - Country:US
Practice Address - Phone:720-808-7307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service