Organization
LGD ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONSTANTE ALBANO DOMINGO (OWNER)
(808) 839-3091
Entity
Organization
Contact information
Practice address
1419 ALA LELEU ST, HONOLULU, HI 96818-1516
(808) 839-3091
Mailing address
PO BOX 971617, WAIPAHU, HI 96797-8207
(808) 839-3091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
W3059479201
HI
Other
Enumeration date
12/14/2008
Last updated
12/14/2008
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