Provider Demographics
NPI:1891000287
Name:LEE-HORITA, JULIE-ANN HEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE-ANN
Middle Name:HEE
Last Name:LEE-HORITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5311
Mailing Address - Country:US
Mailing Address - Phone:808-487-7210
Mailing Address - Fax:808-486-8771
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:SUITE 311
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-487-7210
Practice Address - Fax:808-486-8771
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10694208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI493073Medicaid