Organization
LIFESTYLE MEDICINE CENTER OF HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL M JOHNSON (DIRECTOR)
(808) 854-1162
Entity
Organization
Contact information
Practice address
75-1027 HENRY ST STE 110, KAILUA KONA, HI 96740-3154
(808) 769-5225
(808) 769-5099
Mailing address
75-1027 HENRY ST STE 110, KAILUA KONA, HI 96740-3154
(808) 769-5225
(808) 769-5099
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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