About Lengea

Lengea is a leading healthcare law firm focused on providing top-notch legal services to healthcare providers and entrepreneurs. Our team has extensive experience helping medical providers and business professionals to start, manage, acquire, and sell a wide variety of medical practices and other businesses.

Our comprehensive, team-based approach to representing our clients allows us to provide support and effective counsel across the wide array of legal concerns unique to operating a business in the modern healthcare landscape. The firm’s culture is focused on creative problem solving and innovation to ensure we meet every client’s unique needs and offer tailored solutions to their legal issues.

Whether you already have an established business or are just getting started, our attorneys have the practical skills and knowledge to help you achieve your goals legally and compliantly.

doctor in office

Strategic. Experienced. Innovative.

Who We Serve

Our team of attorneys have over sixty years of combined experience in corporate and healthcare law. We have successfully represented over 1000 healthcare and healthcare-adjacent clients including:

  • Solo Practitioner and Group Medical Practices
  • Medical Spas
  • Dental Practices
  • Management Services Organizations
  • Medical Device Companies
  • Medical Software Companies
  • Ambulatory Surgery Centers
  • Ancillary Service Providers
  • Diagnostic Technology Companies

What We Do

We focus on thoughtfully advising our clients on the myriad of legal issues that occur over the lifetime of a healthcare business, from inception to sale. Some of our typical services include:

  • Formation of medical practices and healthcare businesses
  • Creating compliant MSO/MSA arrangements
  • Negotiating the acquisitions and sales of medical practices and healthcare businesses
  • Registering trademarks
  • Analyzing compliance with federal and state-level fraud and abuse laws including the Federal Anti-kickback Statute and Stark Law
  • Responding to investigations by state licensing boards
  • Drafting and negotiating employment and independent contractor agreements
  • Performing HIPAA compliance audits and implementing compliance plans
  • Reviewing and negotiating commercial leases
  • Serving as outside general counsel
  • Analyzing and ensuring compliance with FDA regulations

What Sets Us Apart

Our collaborative culture and extensive knowledge of evolving healthcare regulations enables us to quickly understand our clients’ objectives, identify regulatory concerns, and provide practical solutions.

In addition to our legal expertise, we draw from our knowledge of the healthcare industry to offer clients guidance and resources for other aspects of their businesses including: real estate, employment, risk management, vendor relationships, technology, and other operational matters.

Med Spas Are Just Getting Started

1996 First Med Spa appears in the United States
2002 Botox approved for cosmetic use by the FDA
2002 Approximately 25 Med Spas in the United States
2004 Approximately 500 Med Spas in the United States
2006Juvederm approved for cosmetic use by the FDA
2008 Number of Med Spas increases by 85% in just over one year
20101,600 Med Spas in the US generating $1.1 billion in revenue
2018Over 5,000 Med Spas generating $7 to 8 billion in revenue
2022 United States accounts for 37.7% of the global Med Spa market, valued at $16.4 billion
2024 Med Spa industry projected to reach valuation of $41 billion by the end of 2029

What We Offer

Healthcare Expertise

We deploy our hard-earned legal experience to support you and your healthcare business.

Entrepreneurial Spirit

We understand, identify, and proactively respond to the unique challenges faced by healthcare companies of all sizes.

Strategic Guidance

We provide thoughtful and practical counsel tailored to the needs of your business.

Industry Insight

We share industry contacts, resources, and trends to keep our clients ahead of the game.

Innovative Solutions

We provide creative and practical answers to complex legal problems.

Legal Precision

We demand excellence and professionalism from our team of highly-skilled attorneys and deliver it to our clients.

Success Stories

Our legal team has worked with over 1,000 healthcare businesses from formation to sale and everything in between.

Mikhail K.

In 2023, we contacted Sara and the legal firm Lengea for the legal support of our Medical Spa business. This experience turned out to be exceptionally successful. Sara and the Lengea team helped us organize the legal side of our operations, identifying and quickly resolving our vulnerabilities. What distinguishes Lengea is their ability to explain complex legal issues simply and understandably, working promptly and efficiently. Their service fully meets our legal support requirements, offering many useful options. We thank Sara and the Lengea team and continue our collaboration.

Gary D.

I had an exceptional experience working with Sara and her team at Lengea Law. Their expertise, professionalism, and dedication made the legal process seamless and stress-free. I highly recommend their services for anyone seeking reliable and knowledgeable legal support.

Wing Aesthetics

I started with Lengea Law almost a year ago and it has been absolutely the most helpful decision when starting my medical spa. As my company grows, I have piece of mind knowing I have the best legal counsel in this ever-changing business.

Teresa A.

Lengea has been with me every step of the way in the formation of my Medspa. I have had nothing but an exceptional experience with their attorneys, especially Shirin Adelman, who is a partner in the firm. They are responsive, knowledgeable, attentive, easy to work with and their resources are extensive. They are able to supply all the information needed for anyone who is interested in undertaking the venture of opening a practice of this nature. I highly recommend Lengea.

Saeeda A.

Shirin is amazing, she always answers my calls, I never had a phone call or email unanswered. She’s on top of everything has all the knowledge. She’s a very big plus on my team. Keeping her around forever. Worth every penny.

E. C.

I honestly could not be more pleased with my experience so far with Lengea Law. I spoke with 7 different law firms before I decided to go with Lengea, and nobody seemed to know how to create the exact structure I wanted for my company. The moment I spoke with Sara on the initial consult call, I knew I had found the legal team I had been searching for. She knew exactly what I was trying to do, and since then has been such a source of knowledge and comfort through my startup journey. Sara is smart, intuitive, incredibly knowledgeable, and has so much experience working with med spas that I trust every word she tells me. Talking to her feels like talking to a friend, coach, business consultant, and attorney all in one. The membership is worth every single penny, and I am so glad to have Sara on my team. Thank you Sara and team!!

Leon G.

Even after 13 years in MedSpa world, I still go to Sara & her amazing legal team at Lengea Law for all my medical aesthetic legal needs! No other firm in our space has the combination of both legal and operational experience that they have!

Meet the Team

Sara Shikhman

Sara Shikhman

Managing Partner

Lauren Sullivan

Lauren Sullivan

Of Counsel

Venus Springs

Venus Springs

Of Counsel

Shelly Shiflet

Shelly Shiflet

Of Counsel

Nick Shafer

Nick Shafer


Priscilla Cruz

Priscilla Cruz

Client Experience Manager

Cate Holliday

Cate Holliday

Operations Coordinator

Jeevan Sidhu

Jeevan Sidhu

Legal Assistant and Membership Concierge

Michelle Paraon

Michelle Paraon

Executive Assistant

Mehak Sidhu

Mehak Sidhu

Legal Assistant

Contact Us

We would love to hear from you