Individual
LISA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 501, WAIPAHU, HI 96797-3035
(808) 671-0055
Mailing address
430 N WOODLAWN ST STE 1, WICHITA, KS 67208-4340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61220
KS
1223G0001X
General Practice Dentistry
Primary
DT-3070
HI
Other
Enumeration date
06/29/2015
Last updated
04/08/2026
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