Organization
LAULEA HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL E.W JOHNSEN MD (OWNER)
(808) 866-4931
Entity
Organization
Contact information
Practice address
180 DICKENSON ST STE 103, LAHAINA, HI 96761-1215
(808) 344-2053
Mailing address
40 UAHAA PL, WAILUKU, HI 96793-2147
(808) 419-6936
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
HI
Other
Enumeration date
02/23/2018
Last updated
07/21/2022
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