Individual
MR. LON ERIC LEBATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-2444
Mailing address
6567B 104TH ST, EWA BEACH, HI 96706-3306
(808) 371-7554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0004743
DE
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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