Provider Demographics
NPI:1386010312
Name:LYNDA A HIRAKAMI DNP INC
Entity Type:Organization
Organization Name:LYNDA A HIRAKAMI DNP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HIRAKAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:808-938-9105
Mailing Address - Street 1:P.O. BOX 250
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778
Mailing Address - Country:US
Mailing Address - Phone:808-965-8253
Mailing Address - Fax:
Practice Address - Street 1:15-3014 PAHOA VILLAGE ROAD
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778
Practice Address - Country:US
Practice Address - Phone:808-339-7093
Practice Address - Fax:808-339-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI979261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center