Provider Demographics
NPI:1366822819
Name:ELIZABETH ELLIOTT N.D., L.AC LLC
Entity Type:Organization
Organization Name:ELIZABETH ELLIOTT N.D., L.AC LLC
Other - Org Name:HAWAII INTEGRATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:808-542-5567
Mailing Address - Street 1:6700 KALANIANAOLE HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1277
Mailing Address - Country:US
Mailing Address - Phone:808-542-5567
Mailing Address - Fax:866-239-6968
Practice Address - Street 1:6700 KALANIANAOLE HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1277
Practice Address - Country:US
Practice Address - Phone:808-542-5567
Practice Address - Fax:866-239-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-30
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 913171100000X
HIND 191175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty