Organization
LUZ PATRICIA MEDINA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MEDINA (BILLING MANAGER)
(808) 249-8862
Entity
Organization
Contact information
Practice address
99 S MARKET ST STE 103, WAILUKU, HI 96793-2252
(808) 249-8862
Mailing address
99 S MARKET ST STE 103, WAILUKU, HI 96793-2252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14001
HI
Other
Enumeration date
09/04/2008
Last updated
10/18/2010
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