| Lice Lounge Duluth | |
|
113 N 2nd Ave W Duluth MN 55802-1911 | |
| (218) 382-5423 | |
| Not Available |
| Full Name | Lice Lounge Duluth |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 113 N 2nd Ave W, Duluth, Minnesota |
| Authorized Official Name and Position | Kelly Rhea Merriman (OWNER, COO) |
| Authorized Official Contact | 6518153644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lice Lounge Duluth 2335 Gaston Ave White Bear Township MN 55110-2338 Ph: (651) 815-3644 | Lice Lounge Duluth 113 N 2nd Ave W Duluth MN 55802-1911 Ph: (218) 382-5423 |
| NPI Number | 1376056481 |
|---|---|
| Provider Enumeration Date | 11/10/2017 |
| Last Update Date | 11/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376056481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | () | Primary |
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