Individual
DR. LAWRENCE RAITHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 PONAHAWAI ST, SUITE 118, HILO, HI 96720-2660
(808) 961-0151
(808) 961-5993
Mailing address
1329 LUSITANA ST, SUITE 602, HONOLULU, HI 96813-2429
(808) 522-5055
(808) 524-6306
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-3306
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-3306
STATE LICENSE
HI
Enumeration date
09/21/2006
Last updated
07/09/2007
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