Organization
DERMACARE HI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN LEPKE APRN (OWNER)
(808) 855-8380
Entity
Organization
Contact information
Practice address
4520 KUKUI ST STE 101, KAPAA, HI 96746-1770
(808) 855-8380
(855) 635-8353
Mailing address
4520 KUKUI ST STE 101, KAPAA, HI 96746-1770
(808) 855-8380
(855) 635-8353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
2012001836
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H110085
—
HI
Enumeration date
05/15/2017
Last updated
03/17/2018
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