Organization · NPI-2
Lice Lice Baby, LLC
Technician, Other · Round Rock, TX
NPI number1629593496
StatusActive
Last updated in NPPESAug 14, 2017
Details
- NPI
- 1629593496
- Entity type
- Organization (NPI-2)
- Legal business name
- Lice Lice Baby, LLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2017
- Last updated
- Aug 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Other names
- Lice Clinics Of America Round Rock (Doing Business As)
Practice location
1700 Bryant DrRound Rock, TX 78664-3897
Phone 512-743-0234
Mailing address
2362 Caprock PlGeorgetown, TX 78626-7347
Phone 512-743-0234
Authorized official
Mary Katherine Bauer
Owner
5127430234
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