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LIFESTYLE MEDICINE CENTER OF HAWAII LLC NPI 1538740766


NPI Information

NPI: 1538740766
Provider Name: LIFESTYLE MEDICINE CENTER OF HAWAII, LLC
Classification: Registered Nurse - 163WC3500X
Entity Type: Organization

Specialization: Cardiac Rehabilitation

Address:
75-1027 HENRY ST STE 110
KAILUA KONA, HI
ZIP 96740
Phone: (808) 769-5225
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LIFESTYLE MEDICINE CENTER OF HAWAII, LLC is a cardiac rehabilitation registered nurse in Kailua Kona, HI. LIFESTYLE MEDICINE CENTER OF HAWAII, LLC NPI is 1538740766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75-1027 HENRY ST STE 110
KAILUA KONA, HI
ZIP 96740-154
Phone: (808) 769-5225
Fax: (808) 769-5099

The provider's authorized official is April M Johnson .
The authorized official title is Director and has the following contact phone number (808) 854-1162.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 4/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC3500XRegistered NurseCardiac RehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.