# LAULEA HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1982105052
- **Authorized official:** DR. SAMUEL E.W JOHNSEN MD (OWNER)
- **Authorized official phone:** (808) 866-4931

## Contact information

- **Practice address:** 180 DICKENSON ST STE 103, LAHAINA, HI 96761-1215
- **Practice address phone:** (808) 344-2053
- **Mailing address:** 40 UAHAA PL, WAILUKU, HI 96793-2147
- **Mailing address phone:** (808) 419-6936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | HI | Yes |

## Other

- **Enumeration date:** 02/23/2018
- **Last updated:** 07/21/2022