Individual
GRACE LOUCHHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 PONAHAWAI ST STE 101, HILO, HI 96720-7665
(808) 933-9187
Mailing address
615 PONAHAWAI ST STE 101, HILO, HI 96720-7665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-25403
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-25403
PHYSICIAN
HI
Enumeration date
04/20/2022
Last updated
10/15/2025
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