Individual
DR. LAURA K. HASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101-237956
VA
208000000X
Pediatrics Physician
Primary
MD-17115
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010191599
—
VA
01
—
182314
ANTHEM
—
01
—
409034
SOUTHERN HEALTH
—
Enumeration date
08/18/2006
Last updated
05/26/2021
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