# PACIFIC NEPHROLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265862221
- **Authorized official:** JAY IAN LAKKIS M.D. (PHYSICIAN - MEMBER AND MANAGER)
- **Authorized official phone:** (808) 244-1444

## Contact information

- **Practice address:** 95 MAUI LANI PKWY, WAILUKU, HI 96793-2416
- **Practice address phone:** (808) 244-1444
- **Practice address fax:** (808) 244-1445
- **Mailing address:** 95 MAUI LANI PKWY, WAILUKU, HI 96793-2416
- **Mailing address phone:** (808) 244-1444
- **Mailing address fax:** (808) 244-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD-12546 | HI | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 09/22/2026