Doctor Name: | LISSA LANG |
NPI Number: | 1770751729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | W0039951601 |
Business Practice Address: | 3727 Waha Rd Kalaheo, HI - 967419609 |
Business Phone Number: | 8086399888 |
Business Fax Number: | 8083325518 |
Mailing Address: | 3727 Waha Rd, KALAHEO |
State: | HI |
Postal Code: | 967419609 |
Phone Number: | 8086399888 |
Fax Number: | 8083325518 |
NPI Enumeration Date: | 02/12/2008 |
NPI Last Update Date: | 02/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | W0039951601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |