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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