Provider Demographics
NPI:1689223406
Name:CHING, LOLITA ECHAUZ (APRN-RX, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LOLITA
Middle Name:ECHAUZ
Last Name:CHING
Suffix:
Gender:F
Credentials:APRN-RX, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-366 PUPUPANI ST STE 208
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2644
Mailing Address - Country:US
Mailing Address - Phone:808-387-7635
Mailing Address - Fax:808-842-7640
Practice Address - Street 1:94-366 PUPUPANI ST STE 208
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2644
Practice Address - Country:US
Practice Address - Phone:808-387-7635
Practice Address - Fax:808-842-7640
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN2681363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI510068942Medicaid