Healthcare Provider Details

I. General information

NPI: 1720779788
Provider Name (Legal Business Name): BREASTFEEDING SOLUTIONS HAWAII LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2047 NUUANU AVE APT 1004
HONOLULU HI
96817-2520
US

IV. Provider business mailing address

2047 NUUANU AVE APT 1004
HONOLULU HI
96817-2520
US

V. Phone/Fax

Practice location:
  • Phone: 808-773-2883
  • Fax:
Mailing address:
  • Phone: 808-773-2883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTY LYNN LAU
Title or Position: REGISTERED NURSE
Credential: RN, IBCLC
Phone: 808-224-1868