# SALT & LIGHT AESTHETICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salt & Light Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134848583
- **Authorized official:** LACEY DUNCAN FNP (OWNER)
- **Authorized official phone:** (318) 310-5840

## Contact information

- **Practice address:** 222 BELL LN STE 3, WEST MONROE, LA 71291-6303
- **Practice address phone:** (318) 310-5840
- **Practice address fax:** (318) 319-2024
- **Mailing address:** PO BOX 2382, WEST MONROE, LA 71294-2382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 04/13/2023