Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD-8439 | HI |
N | 207RP1001X | Pulmonary Disease | MD-8439 | HI |
NPI | 1043353709 |
---|---|
Provider Name | Lillian A Umbarger |
First Address | Honolulu, HI 96819-1469 |
Second Address | Honolulu, HI 96819-1469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000207134 | HMSA BILLING NUMBER (01) | HI |
078407-01 | (05) | HI |
G31540 | (02) | HI |