Individual
LEILANI LUDVIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
963 KAILIU PL, HONOLULU, HI 96825-1335
(808) 389-7075
Mailing address
963 KAILIU PL, HONOLULU, HI 96825-1335
(808) 389-7075
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
APRN3122
HI
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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