Healthcare Provider Details

I. General information

NPI: 1609348184
Provider Name (Legal Business Name): SAMMEE LOUISE ALBANO RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2018
Last Update Date: 05/19/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 HOOLAKO ST
LIHUE HI
96766-1506
US

IV. Provider business mailing address

2855 HOOLAKO ST
LIHUE HI
96766-1506
US

V. Phone/Fax

Practice location:
  • Phone: 808-652-1458
  • Fax:
Mailing address:
  • Phone: 808-652-1458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL44772
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN26897
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: