Provider Demographics
NPI:1255471884
Name:MELEAD, DONNA M LEIA (ND LAC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M LEIA
Last Name:MELEAD
Suffix:
Gender:F
Credentials:ND LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1363
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-7363
Mailing Address - Country:US
Mailing Address - Phone:808-822-2087
Mailing Address - Fax:775-262-3547
Practice Address - Street 1:4-1579 KUHIO HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1859
Practice Address - Country:US
Practice Address - Phone:808-822-2087
Practice Address - Fax:775-262-3547
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIACU - 554171100000X
HIND-66175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist