Individual
LISA GALLISHAW LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15-2662 PAHOA VILLAGE RD, SUITE 303 PMB 8741, PAHOA, HI 96778-7730
(808) 930-6001
Mailing address
350 SUMNER ST, SUMNER WELLNESS CLINIC, HONOLULU, HI 96817-5088
(808) 477-2925
(808) 537-2697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD 366
HI
Other
Enumeration date
02/06/2012
Last updated
03/05/2015
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