Provider Demographics
NPI:1497734206
Name:HASEGAWA-EVANS, LIANNE EMI (CGC)
Entity Type:Individual
Prefix:MRS
First Name:LIANNE
Middle Name:EMI
Last Name:HASEGAWA-EVANS
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2311
Mailing Address - Country:US
Mailing Address - Phone:808-733-9039
Mailing Address - Fax:808-733-9068
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4408
Practice Address - Country:US
Practice Address - Phone:808-973-3403
Practice Address - Fax:808-973-3401
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS