Provider Demographics
NPI:1942246160
Name:LEE, NATALIE LEINANI RELLES (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:LEINANI RELLES
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:LEINANI
Other - Last Name:RELLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:95-1085 INANA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-6597
Mailing Address - Country:US
Mailing Address - Phone:808-777-9932
Mailing Address - Fax:
Practice Address - Street 1:3-3420 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766
Practice Address - Country:US
Practice Address - Phone:808-245-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-12340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000245902OtherHMSA EAST
HI542630OtherALOHA CARE
HI542630Medicaid
HI00A0245900OtherHMSA WEST
HI0000245902OtherHMSA EAST
HIH97115Medicare UPIN
HI542630OtherALOHA CARE