Abbott, Lisa J

Abbott, Lisa J is an individual health care provider with primary practice located at 1310 Punahou St , Honolulu HI 96826-1027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Lisa J can be contacted via phone (808) 941-4466.

Contact Information

Primary practice address
1310 Punahou St Honolulu HI 96826-1027
Phone: (808) 941-4466
Fax: (808) 951-3718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-449 Hawaii

Profile Details

NPI number 1386662963
LBN Legal business name Abbott, Lisa J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386662963 NPPES
Hawaii MEDICAID 0051863103

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