Provider Demographics
NPI:1740087048
Name:JOHNSON, SARAH K (LAC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:JOHNSON
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 HUNAKAI ST APT B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4669
Mailing Address - Country:US
Mailing Address - Phone:808-397-3901
Mailing Address - Fax:
Practice Address - Street 1:1228 HUNAKAI ST APT B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4669
Practice Address - Country:US
Practice Address - Phone:808-397-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1445171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist