Individual
DR. STACY MIYAMOTO LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
599 FARRINGTON HWY, SUITE 100, KAPOLEI, HI 96707-2001
(808) 674-2930
(808) 674-2950
Mailing address
95-1011 HOLOLANI ST, MILILANI, HI 96789-4960
(808) 626-8426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10244
HI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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