Organization
ALOHA DERMATOLOGY AND LASER CENTER LLC
Active
Other names
Micki Ly, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKI N LY MD (CEO)
(808) 877-6526
Entity
Organization
Contact information
Practice address
89 HOOKELE ST, 101, KAHULUI, HI 96732-3532
(808) 877-6526
(808) 877-7033
Mailing address
PO BOX 668, PUUNENE, HI 96784-0668
(808) 877-6526
(808) 877-7033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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