| Lemurian Healthcare Pc | |
|
600 Ala Moana Blvd Honolulu HI 96813-4926 | |
| (240) 472-2205 | |
| Not Available |
| Full Name | Lemurian Healthcare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Ala Moana Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Roxanne Smith-white (OWNER) |
| Authorized Official Contact | 2404722205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemurian Healthcare Pc 600 Ala Moana Blvd Honolulu HI 96813-4926 Ph: () - | Lemurian Healthcare Pc 600 Ala Moana Blvd Honolulu HI 96813-4926 Ph: (240) 472-2205 |
| NPI Number | 1376283085 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Medicare PECOS PAC ID | 2860871803 |
|---|---|
| Medicare Enrollment ID | O20220803001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376283085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Roxanne Smith-white |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403293 PECOS PAC ID: 4385625383 Enrollment ID: I20040526000561 |
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