Organization
LULU'S LICE REMOVAL CLINIC, LLC
Active
Other names
Lightning Lice Removal
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E FASSLER MD (MEDICAL DIRECTOR)
(704) 909-9414
Entity
Organization
Contact information
Practice address
5810 STATE ROAD 54, NEW PORT RICHEY, FL 34652-6050
(727) 410-7013
Mailing address
5263 MILLER BAYOU DR, PORT RICHEY, FL 34668-6224
(727) 410-7013
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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