Individual
DR. WILLIAM LORENZO JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
500 ALA MOANA BLVD STE 7400, HONOLULU, HI 96813-4902
(808) 354-5987
(808) 468-4548
Mailing address
46-172 HILINAMA ST, KANEOHE, HI 96744-3604
(808) 861-8530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27784
TN
207R00000X
Internal Medicine Physician
Primary
MD-22640
HI
207RI0200X
Infectious Disease Physician
MD-22640
HI
Other
Enumeration date
07/02/2007
Last updated
04/10/2025
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