Individual
LOUISE M. LETTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6377
(866) 269-3450
Mailing address
361 KAILUA RD APT 8208, KAILUA, HI 96734-2965
(808) 429-2581
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
51779
MA
2084P0800X
Psychiatry Physician
Primary
MD8579
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0208735
HAWAII MEDICAL SVC ASSN
HI
05
—
07946301
—
HI
Enumeration date
07/02/2006
Last updated
12/18/2023
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