| Dr Lee J Brock, MD | |
| 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | |
| (808) 433-5723 | |
| Not Available | 
| Full Name | Dr Lee J Brock | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 1 Jarrett White Rd, Tripler Amc, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912008871 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A90803 (California) | Primary | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 | 
| Entity Name | Valley Childrens Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lee J Brock, MD 633d Medical Group, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 225-7630 | Dr Lee J Brock, MD 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (808) 433-5723 | 
| Dr. Alison Lorraine Semanoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 717-329-5682 | |
| Kelley Marie Sonney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 210-916-3160 | |
| Walter K. Imai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
| Amy F. Lumeng, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6661 Fax: 808-433-1551 | |
| Dr. Julie Anne Baunchalk, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-9728 | |
| Dr. Donald Ames Person, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
| Dr. Lingie Chiu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-4837 Fax: 808-433-4837 |