| Richard Ky Lau Jr Md Inc | |
|
1441 Kapiolani Blvd Suite 608 Honolulu HI 96814-4402 | |
| (808) 955-3636 | |
| (808) 943-2777 |
| Full Name | Richard Ky Lau Jr Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1441 Kapiolani Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Richard Ky Lau (PRESIDENT) |
| Authorized Official Contact | 8089553636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Ky Lau Jr Md Inc 1441 Kapiolani Blvd Suite 608 Honolulu HI 96814-4402 Ph: (808) 955-3636 | Richard Ky Lau Jr Md Inc 1441 Kapiolani Blvd Suite 608 Honolulu HI 96814-4402 Ph: (808) 955-3636 |
| NPI Number | 1114271061 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 6901058130 |
|---|---|
| Medicare Enrollment ID | O20121214000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114271061 | NPI | - | NPPES |
| 02655301 | Medicaid | HI | |
| 00D0029696 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5629 (Hawaii) | Primary |
| Provider Name | Richard K Y Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609951797 PECOS PAC ID: 4183647514 Enrollment ID: I20060111000558 |
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