Individual
MR. ALBERT LUCAS DREITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1329 LUSITANA ST, SUITE 501, HONOLULU, HI 96813-2429
(808) 531-2002
(808) 566-0375
Mailing address
1329 LUSITANA ST, SUITE 501, HONOLULU, HI 96813-2429
(808) 531-2002
(808) 566-0375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
872
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-033276
FEDERAL TAX ID#
—
01
—
A020475-8
HMSA PROVIDER #
HI
Enumeration date
01/18/2007
Last updated
07/08/2007
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