Fine Lines Cosmetic Laser CNT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FINE LINES COSMETIC LASER CNT

Practice address

717 N Eastern Ave
Crowley, LA 70526-3856

Phone

(337) 783-2426

Fax

(337) 783-2483

NPI assigned

May 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bronwen B Darbonne

Title

President

Phone

(337) 783-2426

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609077676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N EASTERN AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263856",
            "telephone_number": "337-783-2426",
            "fax_number": "337-783-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N EASTERN AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263856",
            "telephone_number": "337-783-2426",
            "fax_number": "337-783-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE LINES COSMETIC LASER CNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARBONNE",
        "authorized_official_first_name": "BRONWEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-783-2426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Elizabeth Ewing, PHARM D
• Teela Lynn Faircloth-Meche, SLP/CCC
• Michelle Falgout, LPC
• Family Clinic of Acadia, LLC
• Delontra Fields
• Megan Christine Fitzpatrick, MD
• Kevin J Flash, D.D.S.
• Charles Joseph Fontenot, D.D.S.
• Douglas George Fontenot, M.A.
• Jade Fontenot, DDS

• Clinic/Center in Crowley, LA
• Providers in Crowley, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.