# LIANE JUNKO WATANABE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750680369
- **Gender:** F
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO-196 | HI | Yes |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 01/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 79310 | — | HI |
| 01 | — | PO-196 | DPM | HI |