Individual
DR. LANCE CRAIG WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 S BERETANIA ST, #215, HONOLULU, HI 96814-1520
(808) 532-3711
(808) 532-3713
Mailing address
77 OHAOHA PL, MAKAWAO, HI 96768-7707
(808) 269-0979
(808) 573-4786
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-11872
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0237311
HMSA
—
01
—
517344-01
ACS
—
01
—
A015
CHAMPUS TRICARE
—
Enumeration date
07/17/2006
Last updated
04/05/2010
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