Individual
LUZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 249-8862
(808) 249-8870
Mailing address
99 S MARKET ST, WAILUKU, HI 96793-2200
(808) 249-8862
(808) 249-8870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A50266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-14001
MEDICAL LICENSE
HI
Enumeration date
08/13/2006
Last updated
10/27/2008
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