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.
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.
Of our clients are med spa, aesthetic, wellness, and medical practices. A depth of focus most healthcare firms don't have.
States our attorneys are licensed in, including many with complex healthcare ownership rules. Built for operators that cross state lines.
Membership pricing you can plan around. We take no revenue share and no cut of your profit. You keep 100% of your business.
Medical director introductions included with every membership. Uncommon among healthcare law firms. No percentage of your revenue. Ever.
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 MoreCleanup That Doesn't Compound
Assessing and correcting non-compliant or risky setups before regulators or buyers surface them.
Learn MoreHigh-Risk Service Lines
Peptides, biologics, GLP-1s, HRT, and the regulatory ground that keeps shifting under them.
Learn MoreMulti-State and Telehealth
Expanding across state lines and into telehealth without having to retrofit the structure later.
Learn MoreNot sure what you need? Speak with our team.
Free Consultation
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
IncludedMedical 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
$3,000Purchase access to our medical director list, or have us make an introduction to a physician in our network. No percentage of revenue, ever.
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.
Outcomes That Hold Up
Anonymized examples from twenty years of building and defending healthcare businesses.
200 sq ft to 15+ locations.
Started with one treatment room. We structured the business. The client now operates 15 locations and counting.
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.
Board investigation defended.
A physician faced a board investigation that crossed 20+ states. We defended. The physician won.
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.
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.

















