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Organization

LANAI COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA SHAW PHD, MPH, MBA, FCMPE (EXECUTIVE DIRECTOR)
(808) 565-6919
Entity
Organization

Contact information

Practice address
333 SIXTH STREET, LANAI CITY, HI 96763-0142
(808) 565-6919
(808) 565-9111
Mailing address
333 SIXTH STREET, PO BOX 630142, LANAI CITY, HI 96763-0142
(808) 565-6919
(808) 565-9111

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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