Healthcare Provider Details

I. General information

NPI: 1336195940
Provider Name (Legal Business Name): HAWAII PROFESSIONAL AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S KING ST STE 802
HONOLULU HI
96814-1709
US

IV. Provider business mailing address

1010 S KING ST STE 802
HONOLULU HI
96814-1709
US

V. Phone/Fax

Practice location:
  • Phone: 808-597-1877
  • Fax: 808-597-1195
Mailing address:
  • Phone: 808-597-1877
  • Fax: 808-597-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORI L LOVATO
Title or Position: OWNER
Credential: AU.D.
Phone: 808-597-1877