Individual
DR. LAURA D. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1907 S BERETANIA ST, SUITE 501, HONOLULU, HI 96826-1301
(808) 949-3444
(808) 949-7808
Mailing address
1907 S BERETANIA ST, SUITE 501, HONOLULU, HI 96826-1301
(808) 949-3444
(808) 949-7808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-12588
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000250324
HMSA
HI
01
—
3226444
UHA
HI
05
—
559479
—
HI
Enumeration date
11/06/2006
Last updated
03/19/2012
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