Provider Demographics
NPI:1144990953
Name:ALLURE HEALTH CLINIC LLC
Entity type:Organization
Organization Name:ALLURE HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:YANNITTO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:443-425-5515
Mailing Address - Street 1:13881 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:QUEEN ANNE
Mailing Address - State:MD
Mailing Address - Zip Code:21657-1807
Mailing Address - Country:US
Mailing Address - Phone:443-425-5515
Mailing Address - Fax:
Practice Address - Street 1:13881 CHERRY LN
Practice Address - Street 2:
Practice Address - City:QUEEN ANNE
Practice Address - State:MD
Practice Address - Zip Code:21657-1807
Practice Address - Country:US
Practice Address - Phone:443-425-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty