Individual
LOUIS A DAVANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 AULIKE ST, STE 301, KAILUA, HI 96734
(808) 262-5113
(808) 261-8894
Mailing address
30 AULIKE ST, STE 301, KAILUA, HI 96734
(808) 262-5113
(808) 261-8894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 1850
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007301
—
HI
Enumeration date
08/17/2006
Last updated
11/15/2007
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