Individual
DR. LISE M. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 WAINEE ST, LAHAINA, HI 96761-1622
(808) 662-6900
Mailing address
910 WAINEE ST, LAHAINA, HI 96761-1622
(808) 662-6900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-5356
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022228
HMSA BILLING NUMBER
HI
05
—
020107-02
—
HI
Enumeration date
10/23/2006
Last updated
07/09/2007
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