Individual
MAXI L LOHRENGEL-WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
34 WAILEA GATEWAY PL STE A-203, KIHEI, HI 96753-6525
(808) 879-1859
Mailing address
34 WAILEA GATEWAY PL STE A-203, KIHEI, HI 96753-6525
(808) 879-1859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56372
CA
363A00000X
Physician Assistant
Primary
AMD-512
HI
Other
Enumeration date
02/21/2007
Last updated
10/13/2022
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