Healthcare Provider Details

I. General information

NPI: 1790916252
Provider Name (Legal Business Name): H LORRIN LAU MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S KING ST STE 304
HONOLULU HI
96814-1704
US

IV. Provider business mailing address

PO BOX 25668
HONOLULU HI
96825-0668
US

V. Phone/Fax

Practice location:
  • Phone: 808-596-0164
  • Fax: 808-596-0165
Mailing address:
  • Phone: 808-536-0300
  • Fax: 808-536-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD4252
License Number StateHI

VIII. Authorized Official

Name: DR. H LORRIN LAU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-596-0164