Provider Demographics
NPI:1609468313
Name:ALLURE DERM AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:ALLURE DERM AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEHUANANI
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN-RX FNP-BC
Authorized Official - Phone:808-450-5175
Mailing Address - Street 1:91-1033 HAULELE ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3235
Mailing Address - Country:US
Mailing Address - Phone:808-450-5175
Mailing Address - Fax:
Practice Address - Street 1:94-216 FARRINGTON HWY STE B209
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-200-0209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center