Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M C FUKUMITSU
Active Sole ProprietorLISA M C FUKUMITSU is a Community/Behavioral Health healthcare provider located in HILO, Hawaii. NPI 1790136018 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · HILO, HI
Registration Details
- NPI Number
- 1790136018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2016 (10.092074576463 yrs)
- Last Updated
- Jun 28, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
234 WAIANUENUE AVESUITE 215HILO, HI, 967202418Browse HI providers · Browse ZIP 96720
- Phone
- 8089357949
- Fax
- 8089348318
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in HILO, HI
| Name | Credential | NPI |
|---|---|---|
| OCTAVIA PRICE | CNA | 1740527860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.