Organization Name: | WAIMEA PACIFIC ENTERPRISES, LLC |
NPI Number: | 1134317571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYN MICHELLE LAM (OWNER) |
Mailing Address: | 65-1267 Kawaihae Rd Kamuela |
State: | HI US |
Postal Code: | 967438406 |
Phone Number: | 8088857511 |
Fax Number: | 8088850933 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |