Individual
LEV LAWRENCE GRUNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 HOOKAHI ST, WAILUKU, HI 96793-1474
(808) 877-3984
Mailing address
411 POLULANI DR, WAILUKU, HI 96793-1556
(610) 909-4555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A 109055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G334240
—
CA
Enumeration date
07/30/2007
Last updated
04/22/2013
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