Provider Demographics
NPI:1194199802
Name:DIRENFELD, LORNE KENNETH (MD)
Entity Type:Individual
Prefix:
First Name:LORNE
Middle Name:KENNETH
Last Name:DIRENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 HOOKELE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3532
Mailing Address - Country:US
Mailing Address - Phone:808-877-5811
Mailing Address - Fax:808-877-3146
Practice Address - Street 1:89 HOOKELE STREET, SUITE 204
Practice Address - Street 2:
Practice Address - City:KAHULUO
Practice Address - State:HI
Practice Address - Zip Code:96732-3532
Practice Address - Country:US
Practice Address - Phone:808-877-5877
Practice Address - Fax:808-877-3146
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4611174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist