LORI TUNGPALAN-GRONDOLSKY MD, INC
Anesthesiologist Assistant at Punchbowl St, Honolulu, HI

License number
Hawaii 14755
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: LORI TUNGPALAN-GRONDOLSKY
Title: PRESIDENT
Phone: (419) 230-7480
Address
Address
1350 Punchbowl St, Honolulu, HI 96813
National Provider ID: 1568830909
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LORI TUNGPALAN-GRONDOLSKY, MD, INC

1329 Lusitana St STE 604, Honolulu, HI 96813

Industry:
PRACTICE OF MEDICINE
Registration:
Jun 26, 2014
State ID:
243669 P1
Business type:
Domestic Professional Corporation
Agent:
Lori-Anne N. Tungpalan-Grondolsky,1329 Lusitana St STE 604, Honolulu, HI 96813 (Physical)

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