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Organization
MAUI LANI PHYSICIANS AND SURGEONS LLC
Active
Organization
MAUI LANI PHYSICIANS AND SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RENEE AMMERMAN DO (OWNER)
(808) 446-7120
Entity
Organization
Contact information
Practice address
165 MAA ST, KAHULUI, HI 96732-3603
(808) 446-7120
(808) 446-7121
Mailing address
165 MAA ST, KAHULUI, HI 96732-3603
(808) 446-7120
(808) 446-7121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DOS 1403
HI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 14156
HI
208600000X
Surgery Physician
MD 6373
HI
Other
Enumeration date
04/16/2013
Last updated
07/20/2026
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