Provider Demographics
NPI:1942756614
Name:FREEAUF L.AC, FLORA (LAC)
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:FREEAUF L.AC
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7198 KOOLAU RD
Mailing Address - Street 2:
Mailing Address - City:KILAUEA
Mailing Address - State:HI
Mailing Address - Zip Code:96754
Mailing Address - Country:US
Mailing Address - Phone:808-631-6889
Mailing Address - Fax:
Practice Address - Street 1:5-5161 KUHIO HWY SUITE 210
Practice Address - Street 2:
Practice Address - City:HANALEI
Practice Address - State:HI
Practice Address - Zip Code:96714
Practice Address - Country:US
Practice Address - Phone:808-631-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1127171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist