NPI 1093190589

Dr Lisa Taketa

Organisation Point of Service Makawao, HI

Practice location

Address: 7 Aewa Pl, Makawao, HI 96768-8882
Phone: (808) 868-8063
Mailing address: 4450 Kula Hwy Unit 264, Kula, HI 96790-3018

Authorised official

Name: Lisa Taketa
Title: Owner
Phone: (808) 868-8068

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence ACU-338 (HI)

Other Point of Service providers in Hawaii →

Registry record

NPI: 1093190589
Entity type: Organization
NPI issued: 25 Jul 2015
Record last updated: 25 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.