1447586607 NPI number — MRS. LORAINE CARROLL SAWYER MSCP

Table of content: MRS. LORAINE CARROLL SAWYER MSCP (NPI 1447586607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447586607 NPI number — MRS. LORAINE CARROLL SAWYER MSCP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAWYER
Provider First Name:
LORAINE
Provider Middle Name:
CARROLL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSCP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447586607
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1485 LINAPUNI ST
Provider Second Line Business Mailing Address:
RM. 105
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-3575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-847-3285
Provider Business Mailing Address Fax Number:
808-841-1485

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1485 LINAPUNI ST
Provider Second Line Business Practice Location Address:
RM. 105
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-3575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-847-3285
Provider Business Practice Location Address Fax Number:
808-841-1485
Provider Enumeration Date:
10/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com