Basic Information
Provider Information
NPI: 1003016049
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FUJII
FirstName: LORENA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 99-135 KEALAKAHA DR
Address2:  
City: AIEA
State: HI
PostalCode: 967013546
CountryCode: US
TelephoneNumber: 6199617525
FaxNumber:  
Practice Location
Address1: 3228 MOANALUA ROAD
Address2:  
City: HONOLULU
State: HI
PostalCode: 96819
CountryCode: US
TelephoneNumber: 8084328540
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 11/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X17311CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


Home