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MRS. SUSIE CABOTAJE LIDGE LPN
NPI 1740536028
Licensed Practical Nurse in Pearl Harbor, HI

Active since July 24, 2012
480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 471-1866(808) 471-1855 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Susie Cabotaje Lidge Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSIE CABOTAJE LIDGE LPN (NPI 1740536028) is an individual licensed practical nurse in Pearl Harbor, Hawaii, licensed in Hawaii (13178) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1740536028
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. SUSIE CABOTAJE LIDGECredential: LPN
Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908
Mailing Address95-308 Hakupokano LoopMililani, HI 96789-1304 · (808) 623-5385
Phone(808) 471-1866
Fax(808) 471-1855
Sole ProprietorNo
Enumeration DateJuly 24, 2012
✔ NPI 1740536028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in HI · 13178
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
480 CENTRAL AVE, Pearl Harbor, HI 96860
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN KNOREK PH.D.
Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. DENNIS T SEKINE MS, MPH, CCC-A
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0628
MR. KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 257-8708
CHRISTOPHER G PELLEJERA O.D.
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4248
MR. DEMETRIUS PRUITT APRN
Nurse Practitioner (Family)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 477-2600
TAYLOR ANNE STUBBLEFIELD IDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (951) 442-2444
BENJAMIN CLARKSON JAMES DPT
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. JUDE COLEMAN PHARMACIST
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 473-1880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Lidge's NPI number?

The NPI number for Susie Lidge is 1740536028. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Susie Lidge located?

Susie Lidge practices at 480 Central Ave, Pearl Harbor, HI 96860. The listed phone number is (808) 471-1866.

What is Susie Lidge's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susie Lidge was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.