Individual
LANCE MIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-4477
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-4477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1495
HI
Other
Enumeration date
10/21/2009
Last updated
09/14/2023
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