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Individual

DR. LISA NOBUKO ORIMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
98-211 PALI MOMI ST, SUITE 635, AIEA, HI 96701-4301
(808) 554-5901
Mailing address
PO BOX 724, PEARL CITY, HI 96782-0724
(808) 484-8901

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
629
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087988
HI
01
PSY 629-02
MDX
HI
Enumeration date
06/16/2006
Last updated
11/19/2007
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