The Law Firm For Healthcare Businesses That Grow.

We help healthcare businesses build for growth and stay protected under scrutiny. You focus on the business. We protect it.

Medical director introductions included with every membership.

2,500+ Clients Served testmonial-image
five-star-rating 240+ Reviews on Google

Lengea Law advises and defends healthcare businesses across the US, including med spas, IV-therapy clinics, HRT and peptide practices, women’s health, dental, veterinary practices, and telehealth companies. Entrepreneur-founded. Attorney-led. Our lawyers are licensed in more than 25 states, including many with complex healthcare ownership and operating requirements.

Compliance

Who You Hire Matters

In a market crowded with consultants, telehealth platforms, and MD-matching companies all selling
“compliance,” here is what separates a law firm from the rest.

Most consulting companies in this space

  • Sell templates and protocols. Not legal help.
  • Help you set up, then refer you out when an audit or investigation hits.
  • Match you with an MD you never see.
  • Some matching companies use revenue-sharing, equity splits, or MSO models that may create regulatory problems and increase investigation risk.
  • Provide generalized guidance not tailored to your state's specific requirements.

Lengea Law

  • Licensed attorneys advising on structure and defending under scrutiny.
  • Board investigation and audit defense experience.
  • Membership pricing. Prepaid legal work at a member discount. No revenue share.
  • State-specific advice. Licensed in 25+ states.
  • Exclusive webinars and member events.

When something goes wrong, compliance vendors call a lawyer. We are the lawyer.

Prior results do not guarantee a similar outcome. Comparison is with non-lawyer consulting companies, not with other law firms.

Why Lengea Over a Generalist Healthcare Firm

Here’s what makes Lengea different.

Healthcare Expertise 80%

Of our clients are med spa, aesthetic, wellness, and medical practices. A depth of focus most healthcare firms don't have.

Multi-State 25+

States our attorneys are licensed in, including many with complex healthcare ownership rules. Built for operators that cross state lines.

Pricing Predictable

Membership pricing you can plan around. We take no revenue share and no cut of your profit. You keep 100% of your business.

Member Benefit Free

Medical director introductions included with every membership. Uncommon among healthcare law firms. No percentage of your revenue. Ever.

Founder Operator

Sara Shikhman, Esq. built and ran several healthcare businesses before founding Lengea. She knows the work because she has done the work.

Healthcare expertise, multi-state coverage, membership pricing, medical director introductions, and a founder who built and ran a healthcare business. An uncommon combination in healthcare law.

Where Clients Need Us Most

Healthcare law is where the license, the business, and the patient are at risk at once.

Structure That Holds Up

Management services organizations (MSOs) and professional corporations (PCs) that hold up under scrutiny.

Learn More

Cleanup That Doesn't Compound

Assessing and correcting non-compliant or risky setups before regulators or buyers surface them.

Learn More

High-Risk Service Lines

Peptides, biologics, GLP-1s, HRT, and the regulatory ground that keeps shifting under them.

Learn More

Multi-State and Telehealth

Expanding across state lines and into telehealth without having to retrofit the structure later.

Learn More

Not sure what you need? Speak with our team.

Free Consultation
Sara-Shikhman-Headshot

Entrepreneur-Founded. Attorney-Led. Built for the Long Game.

Lengea was founded by an entrepreneur who started small. Sara Shikhman, Esq. opened her own healthcare business out of a single room before founding Lengea. Today our attorneys represent 2,500+ healthcare businesses and are licensed in more than 25 states.

We work with single-location operators, multi-state platforms, med spas, IV-therapy clinics, HRT and peptide practices, women’s health, dental, and veterinary practices, telehealth companies, plastic surgery and dermatology practices, weight loss, and aesthetic training companies. We advise on entity formations, scope of practice, mergers and acquisitions, employment law, healthcare compliance, and regulatory issues, and we defend clients under audit and investigation. The work doesn’t end at launch.

Member Benefit · No Revenue Share · No Lock-In

We understand medical director introductions because we understand healthcare compliance.

Medical director introductions are included with every Lengea membership. We provide legal guidance, make introductions, and structure the relationship. We do not take a cut of your revenue, profits, or equity. Non-members can access this resource for $3,000.

If you're a Lengea member

Included

Medical director introductions are part of your membership. No additional fee. No percentage of revenue. No long-term lock-in.

If you're not a member

$3,000

Purchase access to our medical director list, or have us make an introduction to a physician in our network. No percentage of revenue, ever.

Important: Medical directors on our list are licensed professionals, but Lengea does not vet, endorse, or independently verify individual medical directors. Selection, credentialing, and any due diligence are the client's responsibility. Access to the list does not guarantee that you will find or secure a medical director. Availability varies by state.
Why this matters: Investigators look hard at third-party medical director companies. Non-compliant arrangements can subject you to large fines and license issues. Our role is to protect your business, while you keep 100% of your profits.

Built for the Realities of Healthcare Compliance.

Most of our clients choose one of our memberships. They give you ongoing access, strategy, and real protection, including medical director introductions and discounted attorney rates, without having to second-guess when to reach out.

Our memberships work because legal becomes part of how the business runs, not a fire drill when something breaks. The cost is predictable. The relationship is continuous. We do not take a percent of your revenue, profits, or equity. Our role is to protect your business, while you keep 100% of your profits.

Explore Memberships

Built for the Realities of Healthcare Compliance

Outcomes That Hold Up

Anonymized examples from twenty years of building and defending healthcare businesses.

New Jersey · Growth

200 sq ft to 15+ locations.

Started with one treatment room. We structured the business. The client now operates 15 locations and counting.

Ohio · Exit

Launch in 2020 to PE exit in 2025.

Structured from day one with our framework in place. Sold to private equity for multiple millions five years later.

Multi-State · Defense

Board investigation defended.

A physician faced a board investigation that crossed 20+ states. We defended. The physician won.

Nationwide · Telehealth

Compliant telehealth at scale.

Multiple companies expanded telehealth operations nationwide. The structure was engineered before scale, not retrofitted after.

Prior results do not guarantee a similar outcome. Every matter turns on its own facts and jurisdiction.

Meet the Team

Real attorneys. Real answers. When you call Lengea, you’re speaking with people who know your business and how to help you move forward.

Sara Shikhman, Esq.

Sara Shikhman, Esq.

Managing Partner

Marina Nelson, Esq.

Marina Nelson, Esq.

California Counsel

Samara Bell, Esq.

Samara Bell, Esq.

Senior Associate

Lisa Goldman, Esq.

Lisa Goldman, Esq.

Senior Associate

Cate Holliday

Cate Holliday

Operations Coordinator

Priscilla Cruz

Priscilla Cruz

Client Experience Manager

Michelle Paraon

Michelle Paraon

Executive Assistant

Mary Sialongo

Mary Sialongo

Legal Assistant

Chege Karomo

Chege Karomo

Paralegal

Edna Bustamante

Edna Bustamante

Legal Assistant

Amir Lahoud

Amir Lahoud

Director of Marketing Strategy

Find Your State

Looking for an answer to a specific state question? Start here.

If you're building in healthcare, your structure should hold up to scrutiny.

You don’t need more opinions about compliance. You need to know what you’ve built works when someone actually looks at it. That’s the conversation.

Free Consultation

The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.