| Laura Dvorak, | |
|
15-1477 2nd Ave, Keaau, HI 96749-5039 | |
| (908) 612-9390 | |
| Not Available |
| Full Name | Laura Dvorak |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15-1477 2nd Ave, Keaau, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114635836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-4869 (Hawaii) | Primary |
| Entity Name | Hospice Of Hilo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891051850 PECOS PAC ID: 6709034994 Enrollment ID: O20130531000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Dvorak, Po Box 10811, Hilo, HI 96721-5811 Ph: (908) 612-9390 | Laura Dvorak, 15-1477 2nd Ave, Keaau, HI 96749-5039 Ph: (908) 612-9390 |
Ms. Angela K Evans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15-1648 28th Avenue, Keaau, HI 96749 Phone: 808-936-6222 | |
Georgianne Kuualoha Nacionales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15-1776 29th Ave, Keaau, HI 96749 Phone: 808-938-5060 | |
Louona Larkspur, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Hc 1 Box 5438, Keaau, HI 96749 Phone: 808-640-4805 | |
Ms. Ruth C Boyd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15-1791 14th Ave, Keaau, HI 96749 Phone: 808-938-8830 Fax: 866-402-4540 | |
Hilary Moses, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15-1730 19 Avenue, Keaau, HI 96749 Phone: 808-345-1286 |