Organization
LICE CLINICS USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMPSON (MANAGER)
(314) 973-4908
Entity
Organization
Contact information
Practice address
4249 N SAINT PETERS PKWY STE C, SAINT PETERS, MO 63304-7442
(314) 973-4908
(314) 973-4908
Mailing address
4249 N SAINT PETERS PKWY STE C, SAINT PETERS, MO 63304-7442
(314) 973-4908
(314) 973-4908
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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