| Lynda A Hirakami Dnp Inc | |
|
15-3014 Pahoa Village Road Pahoa HI 96778 | |
| (808) 339-7093 | |
| (808) 339-7076 |
| Full Name | Lynda A Hirakami Dnp Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15-3014 Pahoa Village Road, Pahoa, Hawaii |
| Authorized Official Name and Position | Lynda A Hirakami (PRESIDENT) |
| Authorized Official Contact | 8089389105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynda A Hirakami Dnp Inc P.o. Box 250 Pahoa HI 96778 Ph: (808) 965-8253 | Lynda A Hirakami Dnp Inc 15-3014 Pahoa Village Road Pahoa HI 96778 Ph: (808) 339-7093 |
| NPI Number | 1386010312 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 4486964657 |
|---|---|
| Medicare Enrollment ID | O20151030002095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386010312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 979 (Hawaii) | Primary |
| Provider Name | Lynda A Hirakami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952586752 PECOS PAC ID: 7315019486 Enrollment ID: I20080707000359 |
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