Individual
LORI LEI LIDWIN LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MNE
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 471-3026
Mailing address
95-1115 KOOLANI DR APT 202, MILILANI, HI 96789-5914
(808) 394-0678
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
A991229237
CA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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