Organization
CHANG DICH LAI M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG DICH LAI M.D. (PRESIDENT)
(808) 537-6761
Entity
Organization
Contact information
Practice address
1380 LUSITANA ST, SUITE 1015, HONOLULU, HI 96813-2449
(808) 537-6761
(808) 537-6740
Mailing address
1380 LUSITANA ST, SUITE 1015, HONOLULU, HI 96813-2449
(808) 537-6761
(808) 537-6740
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MD6970
HI
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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