Provider Demographics
NPI:1144572587
Name:MCLAUGHLIN, MAUREEN (LAC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65-1236 PUUKI ST
Mailing Address - Street 2:PO BOX 6548
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-7324
Mailing Address - Country:US
Mailing Address - Phone:808-895-0997
Mailing Address - Fax:
Practice Address - Street 1:65-1206 MAMALAHOA HWY
Practice Address - Street 2:BLDG. 3
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7303
Practice Address - Country:US
Practice Address - Phone:808-895-0997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIACU-685171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist