Individual
JO ANNE LUBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-2866 GOVERNMENT MAIN ROAD, BLDG. E, PAHOA, HI 96778
(808) 965-2244
(808) 965-2245
Mailing address
13-1056 KAHUKAI STREET, PAHOA, HI 96778
(808) 965-2244
(808) 965-2245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-17
—
HI
Enumeration date
02/20/2007
Last updated
07/09/2007
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