Individual
DR. LISA ANNE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34 PUUKANI PL, KAILUA, HI 96734-2928
(808) 261-3543
Mailing address
34 PUUKANI PL, KAILUA, HI 96734-2928
(808) 261-3543
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 6683
HI
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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