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Individual

DR. LAWRENCE PETER BURGESS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1329 LUSITANA ST, SUITE 407, HONOLULU, HI 96813-2429
(808) 533-3368
(808) 536-4249
Mailing address
1329 LUSITANA ST, SUITE 407, HONOLULU, HI 96813-2429
(808) 533-3368
(808) 536-4249

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD4750
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04934501
HI
Enumeration date
04/03/2006
Last updated
07/08/2007
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