Individual
LAURIE K. S. TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, HONOLULU, HI 96813-2444
(808) 593-9226
Mailing address
PO BOX 62066, HONOLULU, HI 96839-2066
(808) 593-9226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H6529
HI
Other
Enumeration date
09/20/2005
Last updated
05/08/2015
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