Doctor Name: | MRS. SKY LEE SACAY LARSON |
NPI Number: | 1649490954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 9270 |
Business Practice Address: | 79-7452 A Mamalahoa Hwy. Kealakekua, HI - 967502346 |
Business Phone Number: | 8089362252 |
Business Fax Number: | 8083220694 |
Mailing Address: | Po Box 2346, KEALAKEKUA |
State: | HI |
Postal Code: | 967502346 |
Phone Number: | 8089362252 |
Fax Number: | 8083220694 |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |