Healthcare Provider Details
I. General information
NPI: 1285695833
Provider Name (Legal Business Name): LORNA K HU M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER ATTN: MCHKJ-QS
HONOLULU HI
96859-5000
US
IV. Provider business mailing address
1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER ATTN: MCHKJ-QS
HONOLULU HI
96859-5000
US
V. Phone/Fax
- Phone: 808-433-1883
- Fax:
- Phone: 808-433-1883
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SP-242 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: