Individual
LANDIS W L LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 HAMAKUA DR, KAILUA, HI 96734-3984
(808) 432-3400
Mailing address
201 HAMAKUA DR, KAILUA, HI 96734-3984
(808) 432-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-5642
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023231-01
—
HI
Enumeration date
02/05/2007
Last updated
10/23/2007
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