Organization
MAHALO DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LAN MD (OWNER)
(415) 314-0699
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(415) 314-0699
Mailing address
PO BOX 5046, KANEOHE, HI 96744-9046
(415) 314-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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