Individual
MS. LORI A. POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
39 LIHAU ST, KAPAA, HI 96746-9536
(808) 822-7267
Mailing address
39 LIHAU ST, KAPAA, HI 96746-9536
(808) 822-7267
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT2078
HI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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