Individual
LOIS L. W. GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 881-4500
Mailing address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 881-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-6876
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000211839
HMSA BILLING NUMBER
HI
05
—
002260-01
—
HI
Enumeration date
09/21/2006
Last updated
10/11/2007
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