| 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 |
|---|---|
| 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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