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Contact Information

NICOLE MAHEALANI LUM, DO
321 N KUAKINI ST STE 308
HONOLULU, HI96817-2360
 Phone: 808-440-6852
 Fax: 808-440-6878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NICOLE MAHEALANI LUM · (Female)

NPI # 1841601937
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/12/2014
Last updated 01/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • HI License # DOS-1825
  • HI Medicaid 826175
  • HI Other 990288045 NON-PROFIT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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