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Organization

INTEGRATED HEALTH SERVICES, LLC

Active
Other names
Lanai Chiropractic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY CHIKAO MATSUMOTO D.C. (MEMBER)
(808) 621-9842
Entity
Organization

Contact information

Practice address
703 LANAI AVE., LANAI CITY, HI 96763
(808) 621-9842
(808) 621-0006
Mailing address
711 KILANI AVE, WAHIAWA, HI 96786-2071
(808) 621-9842
(808) 621-0006

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC140
HI
111N00000X
Chiropractor
DC173
HI
111N00000X
Chiropractor
Primary
DC386
HI
111N00000X
Chiropractor
DC456
HI

Other

Enumeration date
02/10/2012
Last updated
02/10/2012
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