Provider Demographics
NPI:1073672812
Name:FORESTER, LINDSAY KWAI LIN (PA)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:KWAI LIN
Last Name:FORESTER
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:888 S KING ST
Mailing Address - Street 2:STRAUB BONE AND JOINT CENTER
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3009
Mailing Address - Country:US
Mailing Address - Phone:808-522-4000
Mailing Address - Fax:808-522-4401
Practice Address - Street 1:888 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3009
Practice Address - Country:US
Practice Address - Phone:808-522-4000
Practice Address - Fax:808-522-4401
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD-267363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1009444OtherUHA
HI0000257196OtherHMSA
HI0000257196OtherHMSA
HIQ01674Medicare UPIN