Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OD-342 | HI |
NPI | 1013047307 |
---|---|
Provider Name | Dr. Lorene Chai Fernandez |
First Address | Kahului, HI 96732-2302 |
Second Address | Makawao, HI 96768-8295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 27/02/2020 |