Provider Demographics
NPI:1811103302
Name:L AND L HAWAIIAN HEARING LLC
Entity type:Organization
Organization Name:L AND L HAWAIIAN HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:GREELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-888-7509
Mailing Address - Street 1:7400 W 109TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2374
Mailing Address - Country:US
Mailing Address - Phone:952-888-7509
Mailing Address - Fax:952-888-2952
Practice Address - Street 1:1450 ALA MOANA BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4696
Practice Address - Country:US
Practice Address - Phone:808-947-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIL6237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty