Healthcare Provider Details

I. General information

NPI: 1285094201
Provider Name (Legal Business Name): WORLDSTER LEE, M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 LILIHA ST SUITE 400
HONOLULU HI
96817-5410
US

IV. Provider business mailing address

1712 LILIHA ST STE 400
HONOLULU HI
96817-3114
US

V. Phone/Fax

Practice location:
  • Phone: 808-457-4112
  • Fax: 808-531-1030
Mailing address:
  • Phone: 808-524-1010
  • Fax: 808-531-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: WORLDSTER SM LEE
Title or Position: OWNER
Credential: M.D.
Phone: 808-524-1010