Who can inject
MD/DO only; NP/PA and RN cannot inject without physician present
Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers
Nurse practitioners & physician assistants
Limited; NP/PA cannot inject independently; physician must be physically present
The exam that makes it legal
Required; in-person only A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
What to verify in Louisiana
Ensure a licensed Louisiana physician owns or controls the practice and is physically present for all injectable procedures; do not rely on RN or NP/PA injectors.
Primary source: Louisiana State Board of Medical Examiners
General business information for Louisiana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Louisiana board (and your own counsel) before you act.