LICE LOUNGE DULUTH, LLC; NPI #1376056481

Contact Information

LICE LOUNGE DULUTH, LLC

113 N 2ND AVE W
DULUTH, MN 55802-1911

Phone: 218-382-5423
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for LICE LOUNGE DULUTH, LLC

NPI #	`1376056481`
LBN Legal business name	LICE LOUNGE DULUTH, LLC
Authorized official	KELLY MERRIMAN - (OWNER, COO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/10/2017
Last updated	11/10/2017 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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