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NPI Code Detail

MEDICARE: AURISYN BEAUTY CORP

MEDICARE: AURISYN BEAUTY CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1295667582
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURISYN BEAUTY CORP
Provider Business Mailing Address
First Line : 5818 HIGHLAND SHOPPES DR STE C5
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-2654
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2410 HERRONS NEST PL NW STE 107
Second Line :
City : CONCORD
State : NC
Zip : 28027-3778
Country : US
Telephone Number : 980-946-4446
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LANYCE OLDHAM
Credential :
Telephone Number : 202-285-7721
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “AURISYN BEAUTY CORP ” Practice Location

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