Basic Information
| Provider Information | |||||||||
| NPI: | 1841442613 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAKAGAWA | ||||||||
| FirstName: | LORENE | ||||||||
| MiddleName: | TOMI | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MA, OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95-939 UKUWAI ST APT 904 | ||||||||
| Address2: | |||||||||
| City: | MILILANI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967895931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8083841411 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 459 PATTERSON RD | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968191522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086718511 | ||||||||
| FaxNumber: | 8086772570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2008 | ||||||||
| LastUpdateDate: | 10/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 60 | HI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.