OrganizationActive
Aesthetica Clinique LLC
NPI 1508824293 · Plastic Surgery Physician · Tacoma, WA
Aesthetica Clinique LLC is a Plastic Surgery Physician organization in Tacoma, WA (NPI 1508824293).
Provider details
- NPI number
- 1508824293
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louis Potyondy, Managing Member(229) 589-2588
- License
- MD 60288108 (WA)
Practice location
801 Pacific Ave
Tacoma, WA 98402-5209
Phone: (229) 589-2588
Street-level locationGet directions
Mailing address
801 Pacific Ave
Tacoma, WA 98402-5209
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.