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Individual

LISA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1650 LILIHA ST STE 208, HONOLULU, HI 96817-3169
(808) 528-7177
Mailing address
1650 LILIHA ST STE 208, HONOLULU, HI 96817-3169
(808) 528-7177

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC30021
DC
171100000X
Acupuncturist
U00806
MD
225700000X
Massage Therapist
Primary
MAT-17832
HI

Other

Enumeration date
09/10/2007
Last updated
04/24/2024
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