| Lance Michael Kurata, Md, Inc. | |
|
405 N Kuakini St Suite 901 Honolulu HI 96817-6300 | |
| (808) 587-7998 | |
| (808) 587-7768 |
| Full Name | Lance Michael Kurata, Md, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 N Kuakini St, Honolulu, Hawaii |
| Authorized Official Name and Position | Lance Michael Kurata (PHYSICIAN / PRESIDENT) |
| Authorized Official Contact | 8085877998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Michael Kurata, Md, Inc. 405 N Kuakini St Suite 901 Honolulu HI 96817-6300 Ph: (808) 587-7998 | Lance Michael Kurata, Md, Inc. 405 N Kuakini St Suite 901 Honolulu HI 96817-6300 Ph: (808) 587-7998 |
| NPI Number | 1245417179 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Medicare PECOS PAC ID | 1850282740 |
|---|---|
| Medicare Enrollment ID | O20040322000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417179 | NPI | - | NPPES |
| 08826301 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD 9825 (Hawaii) | Primary |
| Provider Name | Lance M Kurata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508823790 PECOS PAC ID: 8820989726 Enrollment ID: I20040427000006 |
| Provider Name | Louise Greencorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033688957 PECOS PAC ID: 9032457262 Enrollment ID: I20190214000767 |
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