Basic Information
Provider Information
NPI: 1518164839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUBIMIR
FirstName: KAREN
MiddleName: TERESA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1436 KUPAU ST
Address2:  
City: KAILUA
State: HI
PostalCode: 967343651
CountryCode: US
TelephoneNumber: 8082629727
FaxNumber:  
Practice Location
Address1: 347 N KUAKINI ST
Address2: HPM-9
City: HONOLULU
State: HI
PostalCode: 968172336
CountryCode: US
TelephoneNumber: 8085238461
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2007
LastUpdateDate: 09/15/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300X13403HIY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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