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Individual
DR. LANI KIKU HIROTA WILSON
Active
Individual
DR. LANI KIKU HIROTA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001417
VA
152W00000X
Optometrist
Primary
12078T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680437386
EMPLOYMENT IDENTIFICATION
VA
Enumeration date
07/12/2006
Last updated
06/20/2013
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