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Organization

LISA DUKE PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ANN DUKE PHD (OWNER/PSYCHOLOGIST)
(808) 226-8204
Entity
Organization

Contact information

Practice address
1001 KAMOKILA BLVD STE 151, KAPOLEI, HI 96707-2090
(808) 226-8204
(808) 676-9250
Mailing address
92-1017 KOIO DR APT R, KAPOLEI, HI 96707-4291
(808) 226-8204
(808) 676-9250

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1154
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417284514
LISA DUKE INDIVIDUAL NPI
HI
Enumeration date
05/05/2010
Last updated
05/05/2010
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