| NPI | 1417470279 |
|---|---|
| Doing Business As | LICE CLINICS KNOXVILLE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN TIPPENS President 865-368-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |