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LEA TIARE MINTON CNM, IBCLC

Nursing Service Providers Registered Nurse Lactation Consultant

Provider NPI: 1669724324

Provider Information:
 LEA TIARE MINTON CNM, IBCLC
Gender: F
Not Sole Proprietor

Practice Location:
1319 PUNAHOU ST STE 801  HONOLULU, HI 96826 US
Tel: 808-203-6580  Fax: --

Business Mailing Address:
677 ALA MOANA BLVD STE 1001  HONOLULU, HI 96813-5408 US
Tel: 808-469-4900  Fax: 808-536-7315

NPI Information:
NPI: 1669724324
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WL0100XNursing Service Providers
Registered Nurse
Lactation Consultant
HIRN-71425
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
HIAPRN-1439

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 367A00000X

Type:

Classification:



Definition:



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