Organization
CONNECTICUT LICE TREATMENT, LLC
Active
Other names
Lice Clinics of America
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D EISEN (MGR)
(203) 948-3326
Entity
Organization
Contact information
Practice address
25 BULKLEY AVE N, WESTPORT, CT 06880-4110
(203) 948-3326
Mailing address
25 BULKLEY AVE N, WESTPORT, CT 06880-4110
(203) 948-3326
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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