LICE LOUNGE DULUTH LLC NPI 1376056481

NPI Information

NPI: 1376056481
Provider Name: LICE LOUNGE DULUTH, LLC

Doing Business As: LICE LOUNGE DULUTH

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
113 N 2ND AVE W
DULUTH, MN
ZIP 55802
Phone: (218) 382-5423
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LICE LOUNGE DULUTH, LLC is a public health and state or local clinic center in Duluth, MN. LICE LOUNGE DULUTH, LLC NPI is 1376056481. The provider is registered as an organization entity type.
The provider Is Doing Business As Lice Lounge Duluth.

The provider's business location address is:

113 N 2ND AVE W
DULUTH, MN
ZIP 55802-911
Phone: (218) 382-5423

The provider's authorized official is Kelly Rhea Merriman .
The authorized official title is Owner, Coo and has the following contact phone number (651) 815-3644.

The enumeration date for this NPI number is 11/10/2017 and was last updated on 11/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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