Organization
LEE KATSUMOTO LACERDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE LACERDO LCSW (OWNER)
(808) 291-2634
Entity
Organization
Contact information
Practice address
94-1036 WAIPIO UKA ST STE 109, WAIPAHU, HI 96797-4050
(808) 291-2634
Mailing address
PO BOX 1570, PEARL CITY, HI 96782-8570
(808) 291-2634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744129
—
HI
Enumeration date
11/21/2022
Last updated
11/21/2022
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