Dr Lisa Taketa

NPI #1093190589 in Makawao, Hawaii

Provider Information

NPI Number: 1093190589
Entity Type: Organization
Organization Name: Dr Lisa Taketa
Primary Specialty: Point of Service
Enumeration Date: Jul 25, 2015
Last Updated: Jul 25, 2015

Practice Location

Address: 7 AEWA PL
City: Makawao
State: Hawaii
ZIP Code: 96768-8882
Phone: (808) 868-8063

Authorized Official

Name: LISA TAKETA
Title: OWNER
Phone: (808) 868-8068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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