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Individual

DR. GRACE LIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Mailing address
350 WARD AVE, SUITE 106 #77, HONOLULU, HI 96814-4010
(808) 741-1821
(808) 847-5385

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A106256
CA
207L00000X
Anesthesiology Physician
Primary
MD15992
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FG929Y
MEDICARE PTAN
HI
Enumeration date
06/21/2007
Last updated
10/17/2011
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