# LISA L. WONG M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831163591
- **Authorized official:** DR. LISA L WONG M.D. (PRESIDENT)
- **Authorized official phone:** (808) 524-6922

## Contact information

- **Practice address:** 1380 LUSITANA ST, SUITE 506, HONOLULU, HI 96813-2449
- **Practice address phone:** (808) 524-6922
- **Mailing address:** 1380 LUSITANA ST, SUITE 506, HONOLULU, HI 96813-2449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD11352 | HI | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 09/24/2020