Provider Demographics
NPI:1245308188
Name:IFFT, LOIS K (LMT)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:K
Last Name:IFFT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 KEOLU DR
Mailing Address - Street 2:104B
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3847
Mailing Address - Country:US
Mailing Address - Phone:808-262-6565
Mailing Address - Fax:808-261-7600
Practice Address - Street 1:1051 KEOLU DR
Practice Address - Street 2:104B
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3847
Practice Address - Country:US
Practice Address - Phone:808-262-6565
Practice Address - Fax:808-261-7600
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 7626174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist