Healthcare Provider Details

I. General information

NPI: 1790094688
Provider Name (Legal Business Name): SYLVIA LAAKEA LAANO L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N BERETANIA ST STE 203B
HONOLULU HI
96817-4709
US

IV. Provider business mailing address

47-402 KAMEHAMEHA HWY
KANEOHE HI
96744-4738
US

V. Phone/Fax

Practice location:
  • Phone: 808-227-4670
  • Fax:
Mailing address:
  • Phone: 808-227-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number928
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: