Provider Demographics
NPI:1245006741
Name:LENTA, UALA (CPM)
Entity type:Individual
Prefix:
First Name:UALA
Middle Name:
Last Name:LENTA
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:HONAUNAU
Mailing Address - State:HI
Mailing Address - Zip Code:96726-0212
Mailing Address - Country:US
Mailing Address - Phone:808-731-9930
Mailing Address - Fax:
Practice Address - Street 1:81-6250 HAWAII BELT RD
Practice Address - Street 2:
Practice Address - City:CAPTAIN COOK
Practice Address - State:HI
Practice Address - Zip Code:96704-8111
Practice Address - Country:US
Practice Address - Phone:808-731-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife