Healthcare Provider Details

I. General information

NPI: 1467336289
Provider Name (Legal Business Name): JOHN B LAURON FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA ST STE 200
HONOLULU HI
96817-1652
US

IV. Provider business mailing address

2228 LILIHA ST STE 200
HONOLULU HI
96817-1652
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3130
  • Fax: 808-533-3140
Mailing address:
  • Phone: 808-533-3130
  • Fax: 808-533-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-5339
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: