=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861812729
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LANA M. ARAKAKI, MD, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2014
-----------------------------------------------------
Last Update Date | 04/18/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1380 LUSITANA ST SUITE 514
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-2449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-531-7551
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1380 LUSITANA ST SUITE 514
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-2449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-531-7551
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LANA ARAKAKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 808-531-7551
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | 15482
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------