Lice Clinics of America Milwaukee

NPI #1063953529 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1063953529
Entity Type: Organization
Organization Name: Lice Clinics of America Milwaukee
Primary Specialty: Technician, Other
Enumeration Date: Mar 17, 2017
Last Updated: Mar 17, 2017

Practice Location

Address: 13435 WATERTOWN PLANK RD
Address 2: SUITE 1
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2201
Phone: (262) 806-0477

Authorized Official

Name: ANDREA FLORSHEIM
Title: OWNER
Phone: (262) 806-0477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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