Wong, Lara Lyn An

Wong, Lara Lyn An is an individual health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Wong, Lara Lyn An can be contacted via phone (808) 691-4970.

Contact Information

Primary practice address
1301 Punchbowl St Honolulu HI 96813-2402
Phone: (808) 691-4970
Fax: (808) 691-5302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A83346 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD-21517 Hawaii

Profile Details

NPI number 1053445270
LBN Legal business name Wong, Lara Lyn An
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Feb 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053445270 NPPES
Hawaii MEDICAID 003855

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