The Lice Lounge | |
2168 3rd St Unit 2d White Bear Lake MN 55110-3233 | |
(612) 666-0513 | |
(612) 666-0513 |
Full Name | The Lice Lounge |
---|---|
Speciality | Clinic/center - Public Health, State Or Local |
Location | 2168 3rd St Unit 2d, White Bear Lake, Minnesota |
Authorized Official Name and Position | Kelly Rhea Merriman (OWNER AND COO) |
Authorized Official Contact | 6518153644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Lice Lounge 2335 Gaston Ave White Bear Township MN 55110-2338 Ph: (651) 815-3644 | The Lice Lounge 2168 3rd St Unit 2d White Bear Lake MN 55110-3233 Ph: (612) 666-0513 |
NPI Number | 1376061051 |
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Provider Enumeration Date | 09/01/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376061051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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› Verified 6 days ago
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