NPI 1407092372

Lizette Rene Kinzer, LMTBEO

Practitioner Contractor Makawao, HI

Practice location

Address: 3537 Baldwin Ave APT a, Makawao, HI 96768-9545
Phone: (808) 573-9081
Fax: (808) 573-9081
Mailing address: PO Box 21, Makawao, HI 96768-0021

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MAT 6245 (HI)

Other Contractor providers in Hawaii →

Contractor

Other Service Providers Taxonomy 171W00000X Licence BEO 16589 (HI)

Registry record

NPI: 1407092372
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2008
Record last updated: 26 Dec 2008

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.