Provider Demographics
NPI:1932139664
Name:DONALD, LON NORIO (PT)
Entity Type:Individual
Prefix:MR
First Name:LON
Middle Name:NORIO
Last Name:DONALD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-771 HINALII ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2809
Mailing Address - Country:US
Mailing Address - Phone:808-371-3087
Mailing Address - Fax:
Practice Address - Street 1:95-771 HINALII ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2809
Practice Address - Country:US
Practice Address - Phone:808-371-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist