The Lice Lounge Hair Care Center

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

THE LICE LOUNGE HAIR CARE CENTER

Practice address

2168 3Rd St Unit 2D
White Bear Lake, MN 55110-3233

Phone

(612) 666-0513

Fax

(612) 666-0513

NPI assigned

Sep 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Rhea Merriman

Title

Owner and Coo

Phone

(651) 815-3644

Specialties & licenses 1

Addresses

Other names 1

• The Lice Lounge Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1376061051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 GASTON AVE",
            "city": "WHITE BEAR TOWNSHIP",
            "state": "MN",
            "postal_code": "551102338",
            "telephone_number": "651-815-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 3RD ST UNIT 2D",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103233",
            "telephone_number": "612-666-0513",
            "fax_number": "612-666-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LICE LOUNGE HAIR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RHEA",
        "authorized_official_title_or_position": "OWNER AND COO",
        "authorized_official_telephone_number": "651-815-3644"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lice Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• State or Local Public Health Clinic/Center in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• State or Local Public Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.