Individual
DR. LAURA A. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819
(808) 432-7030
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819
(808) 432-7030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15244
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000287201
HMSA BILLING NUMBER
HI
05
—
635237-01
—
HI
Enumeration date
08/17/2007
Last updated
05/07/2021
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