Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 17311 | CA |
NPI | 1003016049 |
---|---|
Provider Name | Lorena Marie Fujii |
First Address | Aiea, HI 96701-3546 |
Second Address | Honolulu, HI 96819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 30/11/2021 |