Organization Active NPI

Lulu's Lice Removal Clinic, LLC

  • Health Service Clinic/Center
  • New Port Richey, FL
National Provider Identifier
1477319143
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LULU'S LICE REMOVAL CLINIC, LLC
Practice address
5810 State Road 54
New Port Richey, FL 34652-6050
Phone
(727) 410-7013
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
John E Fassler, MD
Title
Medical Director
Phone
(704) 909-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

5810 State Road 54
New Port Richey, FL 34652-6050

Mailing address

5263 Miller Bayou Dr
Port Richey, FL 34668-6224
Phone (727) 410-7013

Other names 1

  • Lightning Lice Removal Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1477319143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 MILLER BAYOU DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686224",
            "telephone_number": "727-410-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526050",
            "telephone_number": "727-410-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULU'S LICE REMOVAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "FASSLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-909-9414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lightning Lice Removal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.