# INTEGRATED HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lanai Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881967685
- **Authorized official:** DR. TRACY CHIKAO MATSUMOTO D.C. (MEMBER)
- **Authorized official phone:** (808) 621-9842

## Contact information

- **Practice address:** 703 LANAI AVE., LANAI CITY, HI 96763
- **Practice address phone:** (808) 621-9842
- **Practice address fax:** (808) 621-0006
- **Mailing address:** 711 KILANI AVE, WAHIAWA, HI 96786-2071
- **Mailing address phone:** (808) 621-9842
- **Mailing address fax:** (808) 621-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC140 | HI | — |
| 111N00000X | Chiropractor | DC173 | HI | — |
| 111N00000X | Chiropractor | DC386 | HI | Yes |
| 111N00000X | Chiropractor | DC456 | HI | — |

## Other

- **Enumeration date:** 02/10/2012
- **Last updated:** 02/10/2012
