Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MDR5500 | HI |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 16053 | HI |
NPI | 1023270394 |
---|---|
Provider Name | Dr. Lauren I Okamoto |
First Address | Honolulu, HI 96817-2336 |
Second Address | Honolulu, HI 96817-2336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 29/03/2012 |