Individual
LISSA LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 WAHA RD, KALAHEO, HI 96741-9609
(808) 639-9888
(808) 332-5518
Mailing address
3727 WAHA RD, KALAHEO, HI 96741-9609
(808) 639-9888
(808) 332-5518
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
W0039951601
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236778
HMSA
HI
01
—
51709701
ALOHA CARE
HI
05
—
51709701
—
HI
Enumeration date
02/12/2008
Last updated
02/12/2008
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