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Organization
SALT & LIGHT AESTHETICS INC
Active
Organization
SALT & LIGHT AESTHETICS INC
Active
Other names
Salt & Light Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DUNCAN FNP (OWNER)
(318) 310-5840
Entity
Organization
Contact information
Practice address
222 BELL LN STE 3, WEST MONROE, LA 71291-6303
(318) 310-5840
(318) 319-2024
Mailing address
PO BOX 2382, WEST MONROE, LA 71294-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
08/26/2022
Last updated
04/13/2023
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