Individual
LAI-LANI MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(808) 347-5185
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(808) 347-5185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
17211
HI
164X00000X
Licensed Vocational Nurse
Primary
1012311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
FAMILY PRACTICE
—
Enumeration date
02/26/2018
Last updated
04/30/2021
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