NPI 1356066179
Aesthetic and Breast Restorative Center, LLC
Practice location
- Address
- 6330 Mourning Dove Dr, Baton Rouge, LA 70817-1155
- Phone
- (225) 277-7200
- Mailing address
- PO Box 732, Prairieville, LA 70769-0732
Authorised official
- Name
- Jill Dupont
- Title
- Ceo
- Phone
- (985) 290-2358
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1356066179
- Entity type
- Organization
- NPI issued
- 4 Oct 2022
- Record last updated
- 4 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.