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Individual

LILLIAN MCCOLLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN-RX, NP-C

Contact information

Practice address
74-5214 KEANALEHU DR, KAILUA KONA, HI 96740
(808) 355-5600
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
(808) 327-1939

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-2361
HI
363LF0000X
Family Nurse Practitioner
Primary
2361
HI

Other

Enumeration date
10/30/2017
Last updated
02/26/2021
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