Individual
DR. LAVONDA NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
459 PATTERSON RD, CFA, HONOLULU, HI 96819-1522
(808) 433-0224
(808) 433-0281
Mailing address
459 PATTERSON RD, CFA, HONOLULU, HI 96819-1522
(808) 433-0224
(808) 433-0281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD12941
HI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12941
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554817-01
—
HI
05
—
554817-02
—
HI
Enumeration date
05/26/2006
Last updated
07/14/2022
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