| Lice Clinics Of Maryland, Llc | |
|
604 Providence Road Towson MD 21286 | |
| (410) 934-5423 | |
| Not Available |
| Full Name | Lice Clinics Of Maryland, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 604 Providence Road, Towson, Maryland |
| Authorized Official Name and Position | Ralph Jay Updike (VICE PRESIDENT) |
| Authorized Official Contact | 4109345423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lice Clinics Of Maryland, Llc 604 Providence Road Towson MD 21286 Ph: (410) 934-5423 | Lice Clinics Of Maryland, Llc 604 Providence Road Towson MD 21286 Ph: (410) 934-5423 |
| NPI Number | 1154868727 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154868727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 03003633 (Maryland) | Primary |
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