# MAUI LANI PHYSICIANS AND SURGEONS LLC

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

## Provider details

- **NPI number:** 1427491851
- **Authorized official:** STACY RENEE AMMERMAN DO (OWNER)
- **Authorized official phone:** (808) 446-7120

## Contact information

- **Practice address:** 165 MAA ST, KAHULUI, HI 96732-3603
- **Practice address phone:** (808) 446-7120
- **Practice address fax:** (808) 446-7121
- **Mailing address:** 165 MAA ST, KAHULUI, HI 96732-3603
- **Mailing address phone:** (808) 446-7120
- **Mailing address fax:** (808) 446-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | DOS 1403 | HI | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD 14156 | HI | Yes |
| 208600000X | Surgery Physician | MD 6373 | HI | — |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 07/20/2026