CHANG DICH LAI M.D. INC
Managed Care Organizations at Lusitana St, Honolulu, HI

License number
Hawaii MD6970
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. CHANG DICH LAI M.D.
Title: PRESIDENT
Phone: (808) 537-6761
Address
Address
1380 Lusitana St SUITE 1015, Honolulu, HI 96813
National Provider ID: 1255769303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHANG DICH LAI M.D., INC

1380 Lusitana St APT 1015, Honolulu, HI 96813

Industry:
IN THE PRACTICE OF MEDICINE AND TO ENGAGE IN ALL ACTIVITIES GENERALLY AND CUSTOMARILY CARRIED ON IN THE PRACTICE OF MEDICINE
Doing business as:
CHANG DICH LAI M.D., INC
Registration:
Jun 3, 1996
State ID:
104734 P1
Business type:
Domestic Professional Corporation
Agent:
Chang Dich Lai,1380 Lusitana St STE 1015, Honolulu, HI 96813 (Physical)

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