Provider Demographics
NPI:1205267093
Name:QUIGLEY, LENA ANN (FFS)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:ANN
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:FFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 PULE PL
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1125
Mailing Address - Country:US
Mailing Address - Phone:808-286-8661
Mailing Address - Fax:
Practice Address - Street 1:234 210 WARD AVEENUE SUITE 219 B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-585-1424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician