Individual
STEPHAN LEBAMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
(808) 293-6290
Mailing address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
(808) 293-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD9282
HI
Other
Enumeration date
05/02/2006
Last updated
07/25/2008
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