Individual
DR. MARK KISTLER LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, SUITE 804, HONOLULU, HI 96813-2421
(808) 524-3020
(808) 524-8163
Mailing address
1380 LUSITANA ST, SUITE 804, HONOLULU, HI 96813-2421
(808) 524-3020
(808) 524-8163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4873
HI
Other
Enumeration date
08/31/2006
Last updated
02/18/2010
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