Organization · Type 2 NPI
The Lice Lounge Hair Care Center
State or Local Public Health Clinic/Center · White Bear Lake, MN
NPI number
1376061051
Active
Practice location
2168 3rd St Unit 2D
White Bear Lake, MN 55110-3233
Fax (612) 666-0513
Mailing address
2335 Gaston Ave
White Bear Township, MN 55110-2338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| State or Local Public Health Clinic/Center Primary | 261QP0905X | None listed |
State or Local Public Health Clinic/Center: Definition to come...
About NPI 1376061051
The Lice Lounge Hair Care Center's National Provider Identifier is 1376061051, issued on Sep 1, 2017. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in White Bear Lake, MN. The record was last updated on Jun 16, 2018.