Provider Demographics
NPI:1851658330
Name:DAIMA, LAUREN CHIEMI
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:CHIEMI
Last Name:DAIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410A MANUA ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2327
Mailing Address - Country:US
Mailing Address - Phone:808-291-5706
Mailing Address - Fax:
Practice Address - Street 1:1410A MANUA ST
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2327
Practice Address - Country:US
Practice Address - Phone:808-291-5706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60237464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist