Work Well Live Well Llc | |
1301 Punchbowl St Honolulu HI 96813-2402 | |
(808) 366-8167 | |
(855) 437-1594 |
Full Name | Work Well Live Well Llc |
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Speciality | Internal Medicine |
Location | 1301 Punchbowl St, Honolulu, Hawaii |
Authorized Official Name and Position | Lan T. Nguyen (OWNER) |
Authorized Official Contact | 8087227744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Work Well Live Well Llc 46-036 Kamehameha Hwy Unit 1099 Kaneohe HI 96744-7845 Ph: (808) 366-8167 | Work Well Live Well Llc 1301 Punchbowl St Honolulu HI 96813-2402 Ph: (808) 366-8167 |
NPI Number | 1396315164 |
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Provider Enumeration Date | 06/25/2021 |
Last Update Date | 08/19/2021 |
Medicare PECOS PAC ID | 6406259951 |
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Medicare Enrollment ID | O20210721004253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396315164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lan T Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265753040 PECOS PAC ID: 0345487435 Enrollment ID: I20160908000296 |
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