Organization
LICE CLINICS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MARSHALL (OWNER)
(805) 807-3606
Entity
Organization
Contact information
Practice address
1329 E THOUSAND OAKS BLVD STE 128, THOUSAND OAKS, CA 91362-6257
(805) 807-3606
Mailing address
1329 E THOUSAND OAKS BLVD STE 128, THOUSAND OAKS, CA 91362-6257
(805) 807-3606
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
247200000X
Other Technician
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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