Individual
LAUREN THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, MD
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-9311
Mailing address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-9311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21094
HI
Other
Enumeration date
06/22/2016
Last updated
10/14/2022
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