Provider Demographics
NPI:1972002525
Name:L CAMP LLC
Entity Type:Organization
Organization Name:L CAMP LLC
Other - Org Name:TRU ESSENCE COSMETIC AND MEDICAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LASHONDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON-CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-285-6052
Mailing Address - Street 1:1725 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8142
Mailing Address - Country:US
Mailing Address - Phone:832-285-6052
Mailing Address - Fax:
Practice Address - Street 1:1725 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8142
Practice Address - Country:US
Practice Address - Phone:832-285-6052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty