NPI 1083103485

Lice Clinics of America- Northwest Indiana

Organisation Other Technician Crown Point, IN

Practice location

Address: 1010 Breuckman Dr, Crown Point, IN 46307-7530
Phone: (219) 779-2289
Mailing address: 18909 Parrish Ave, Lowell, IN 46356-9618

Authorised official

Name: Randal Klackle
Title: Owner
Phone: (630) 624-4544

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Indiana →

Registry record

NPI: 1083103485
Entity type: Organization
NPI issued: 2 May 2018
Record last updated: 2 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.