Individual
LANA M WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 242-4292
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 242-4292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-15989
HI
2085R0202X
Diagnostic Radiology Physician
ME0092923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272628900
—
FL
01
—
MD-15989
HI LICENSE
HI
Enumeration date
04/19/2006
Last updated
06/28/2011
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