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Organization
LSSB CORPORATION
Active
Organization
LSSB CORPORATION
Active
Other names
Lifeline Hawaii Services
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHAPIRO (PRESIDENT)
(808) 283-8449
Entity
Organization
Contact information
Practice address
22 LOIO PLACE, PAIA, HI 96779-1481
(808) 283-8449
Mailing address
PO BOX 791481, PAIA, HI 96779-1481
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518813
WAIVER PROGRAM
HI
Enumeration date
01/05/2007
Last updated
07/10/2014
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