Lora Aller Md Inc | |
75-5995 Kuakini Hwy Suite 213 Kailua Kona HI 96740-2144 | |
(808) 329-1172 | |
Not Available |
Full Name | Lora Aller Md Inc |
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Speciality | General Practice |
Location | 75-5995 Kuakini Hwy, Kailua Kona, Hawaii |
Authorized Official Name and Position | Lora Aller (OWNER) |
Authorized Official Contact | 8083291172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lora Aller Md Inc 75-5995 Kuakini Hwy Suite 213 Kailua Kona HI 96740-2144 Ph: (808) 329-1172 | Lora Aller Md Inc 75-5995 Kuakini Hwy Suite 213 Kailua Kona HI 96740-2144 Ph: (808) 329-1172 |
NPI Number | 1366513095 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366513095 | NPI | - | NPPES |
076757-05 | Medicaid | HI | |
H20448-0 | Other | HI | HMSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD8739 (Hawaii) | Primary |
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