Individual
LIANE RENEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
Mailing address
PO BOX 2602, KAMUELA, HI 96743-2602
(808) 333-0005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A105272
CA
208000000X
Pediatrics Physician
Primary
MD-23146
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2007
Last updated
04/13/2023
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