Healthcare Provider Details
I. General information
NPI: 1326033192
Provider Name (Legal Business Name): LIANE L MCGINNES-HUA AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2005
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 PENSACOLA ST FL 1
HONOLULU HI
96814-2118
US
IV. Provider business mailing address
1010 PENSACOLA ST FL 1
HONOLULU HI
96814-2118
US
V. Phone/Fax
- Phone: 808-432-2158
- Fax: 808-432-2156
- Phone: 808-432-2158
- Fax: 808-432-2156
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AUD-106 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: