Organization
FINE LINES COSMETIC LASER CNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRONWEN B DARBONNE (PRESIDENT)
(337) 783-2426
Entity
Organization
Contact information
Practice address
717 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 783-2426
(337) 783-2483
Mailing address
717 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 783-2426
(337) 783-2483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
LA
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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