Provider Demographics
NPI:1134497670
Name:HAMAKAWA, LENA
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:HAMAKAWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HUALANI ST
Mailing Address - Street 2:BLDG 9 STE 192
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4378
Mailing Address - Country:US
Mailing Address - Phone:808-935-6620
Mailing Address - Fax:
Practice Address - Street 1:400 HUALANI ST
Practice Address - Street 2:BLDG. 9, SUITE 192
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4378
Practice Address - Country:US
Practice Address - Phone:808-935-6620
Practice Address - Fax:808-935-6781
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-2463122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist