Organization
LAWRENCE A PEEBLES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE A PEEBLES MD (OWNER)
(808) 323-3855
Entity
Organization
Contact information
Practice address
81-6623 MAMALAHOA HWY, KEALAKEKUA, HI 96750-8130
(808) 323-3855
(808) 323-2994
Mailing address
81-6623 MAMALAHOA HWY, KEALAKEKUA, HI 96750-8130
(808) 323-3855
(808) 323-2994
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD3809
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000051482
HMSA/BCBS
—
05
—
01045275
—
HI
01
—
2425711
UHA
—
01
—
449901
OHANA
—
01
—
H0000BDHGB
MEDICARE PTAN
HI
Enumeration date
02/22/2011
Last updated
08/17/2011
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