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Organization
INTEGRATED HEALTH SERVICES, LLC
Active
Organization
INTEGRATED HEALTH SERVICES, LLC
Active
Other names
Lanai Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY CHIKAO MATSUMOTO D.C. (MEMBER)
(808) 621-9842
Entity
Organization
Contact information
Practice address
703 LANAI AVE., LANAI CITY, HI 96763
(808) 621-9842
(808) 621-0006
Mailing address
711 KILANI AVE, WAHIAWA, HI 96786-2071
(808) 621-9842
(808) 621-0006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC140
HI
111N00000X
Chiropractor
DC173
HI
111N00000X
Chiropractor
Primary
DC386
HI
111N00000X
Chiropractor
DC456
HI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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