# TATTOO REMOVAL SHOP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TATTOO REMOVAL SHOP
- **Other names:** Lion Thorn Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558801357
- **Legal business name:** TATTOO REMOVAL SHOP
- **Authorized official:** MICHAEL TOWEY M.D. (OWNER/OPERATOR)
- **Authorized official phone:** (952) 922-9462

## Contact information

- **Practice address:** 7373 FRANCE AVE S, SUITE 504, EDINA, MN 55435-4549
- **Practice address phone:** (952) 922-9462
- **Practice address fax:** (952) 922-8914
- **Mailing address:** 7373 FRANCE AVE S, SUITE 504, EDINA, MN 55435-4549
- **Mailing address phone:** (952) 922-9462
- **Mailing address fax:** (952) 922-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 32775 | MN | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017
