Organization Name: | ACUTE CARE CLINIC, INC. |
NPI Number: | 1629338165 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAMBERT K LEE LOY (PRESIDENT) |
Mailing Address: | 78-6831 Alii Dr Ste 169 Kailua Kona |
State: | HI US |
Postal Code: | 967404409 |
Phone Number: | 8083222750 |
Fax Number: | 8083222995 |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD4705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |