SAMUEL ERNEST WILLIAM JOHNSEN

LAULEA HEALTH CENTER LLC

Dr SAMUEL ERNEST WILLIAM JOHNSEN is a male medical professional, specializing in Internal Medicine. He graduated in 1992.

Contact

LAULEA HEALTH CENTER LLC

180 DICKENSON ST
SUITE 103
LAHAINA
HI
967611215

Tel: 8082145985

SAMUEL ERNEST WILLIAM JOHNSEN Information

Npi 1669491858
Pac Id 1456486315
Professional Enrollment Id I20100317000222
Last Name JOHNSEN
First Name SAMUEL
Middle Name ERNEST WILLIAM
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAULEA HEALTH CENTER LLC
Group Practice Pac Id 0648517979
Number Of Group Practice Members 2
Line 1 Street Address 180 DICKENSON ST
Line 2 Street Address SUITE 103
Marker Of Address Line 2 Suppression
City LAHAINA
State HI
Zip Code 967611215
Phone Number 8082145985
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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