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Organization
LACED BOUTIQUE AND SALON LLC
Active
Organization
LACED BOUTIQUE AND SALON LLC
Active
Other names
Elite Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNDRICK R. REDDING (OWNER AUTHORIZED)
(225) 449-0102
Entity
Organization
Contact information
Practice address
4701 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6026
(504) 494-3895
Mailing address
4701 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6026
(504) 494-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
09/02/2025
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