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Laulea Health Center LLC

Clinic/Center, Medical Specialty in Lahaina, HI. Organization (NPI-2).

NPI number1982105052
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982105052
Entity type
Organization (NPI-2)
Legal business name
Laulea Health Center LLC
Organization subpart
No
Enumeration date
Feb 23, 2018
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty–HIYes

Practice location

180 Dickenson St Ste 103
Lahaina, HI 96761-1215

Phone 808-344-2053

Mailing address

40 Uahaa Pl
Wailuku, HI 96793-2147

Phone 808-419-6936

Authorized official

Samuel E.W Johnsen
Owner
8088664931

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