Pacific Nephrology LLC

NPI #1932379971 in Wailuku, Hawaii

Provider Information

NPI Number: 1932379971
Entity Type: Organization
Organization Name: Pacific Nephrology LLC
Primary Specialty: Specialist
Enumeration Date: Mar 5, 2008
Last Updated: Mar 17, 2018

Practice Location

Address: 95 MAUI LANI PKWY
City: Wailuku
State: Hawaii
ZIP Code: 96793-2416
Phone: (808) 244-1444

Authorized Official

Name: DR. JAY IAN LAKKIS, M.D.
Title: OWNER
Phone: (808) 244-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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