Individual
LYDELL TUPUONO LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
224 KAMEHAMEHA AVE # 201, HILO, HI 96720-2860
(808) 825-4214
Mailing address
55-455 MOANA ST # A, LAIE, HI 96762-1123
(808) 751-0774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
1048
HI
Other
Enumeration date
01/08/2022
Last updated
08/02/2024
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