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Lisa Park

NPI 1568379501 · on the registry since 2026 · sole proprietor

Practice

Address
1630 Liholiho St Apt 1905
Honolulu, HI 96822
Phone
(206) 473-9490
Clinicians at this address
4

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii