| Lisa Nguyen Md Llc | |
|
1188 Bishop St Ste 1102 Honolulu HI 96813-3304 | |
| (850) 888-8598 | |
| Not Available |
| Full Name | Lisa Nguyen Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1188 Bishop St Ste 1102, Honolulu, Hawaii |
| Authorized Official Name and Position | Lisa Nguyen (MD) |
| Authorized Official Contact | 8508888598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nguyen Md Llc 1170 Nuuanu Ave Unit 38164 Honolulu HI 96837-5648 Ph: () - | Lisa Nguyen Md Llc 1188 Bishop St Ste 1102 Honolulu HI 96813-3304 Ph: (850) 888-8598 |
| NPI Number | 1730537580 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Medicare PECOS PAC ID | 2466744792 |
|---|---|
| Medicare Enrollment ID | O20160922001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730537580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD 18530 (Hawaii) | Primary |
| Provider Name | Lisa Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621918 PECOS PAC ID: 3375835606 Enrollment ID: I20160922001561 |
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