Doctor Name: | LYRIC L. SANTIAGO |
NPI Number: | 1114968476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD - 11906 |
Business Practice Address: | 75 Puuhonu Pl Suite 100 Hilo, HI - 96720 |
Business Phone Number: | 8089691000 |
Business Fax Number: | 8089691020 |
Mailing Address: | 75 Puuhonu Pl, Suite 100 HILO |
State: | HI |
Postal Code: | 96720 |
Phone Number: | 8089691000 |
Fax Number: | 8089691020 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD - 11906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |