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General NPI Number Information
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NPI Number | 1275822066
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Entity Type | Organization
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Legal Business Name | AMY LUMENG, M.D., INC.
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 405 N KUAKINI ST SUITE 1103
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City | HONOLULU
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State | HI
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Zip | 96817-6300
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Country | US
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Telephone | 808-778-5438
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Fax | 808-440-2255
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Provider Business Mailing Address
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Address Line | 909 KAPIOLANI BLVD APARTMENT 2707
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City | HONOLULU
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State | HI
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Zip | 96814-2199
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Country | US
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Telephone | 808-778-5438
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMY F. LUMENG
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Credential | M.D.
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Telephone | 808-778-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-11345
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-11345
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License Number State | HI
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