Provider Demographics
NPI:1912029455
Name:MESIONA-LEE, WINONA K (MD)
Entity Type:Individual
Prefix:DR
First Name:WINONA
Middle Name:K
Last Name:MESIONA-LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WINONA
Other - Middle Name:K
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:839 S BERETANIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2501
Mailing Address - Country:US
Mailing Address - Phone:808-522-4755
Mailing Address - Fax:
Practice Address - Street 1:839 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2501
Practice Address - Country:US
Practice Address - Phone:808-522-4755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 10913202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner