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Individual

LISA J ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1310 PUNAHOU ST, HONOLULU, HI 96826-1027
(808) 941-4466
(808) 951-3718
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-449
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051863103
HI
Enumeration date
07/18/2006
Last updated
11/30/2012
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