Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 8294 | SC |
Y | 213EG0000X | General Practice | 8294 | SC |
NPI | 1003194804 |
---|---|
Provider Name | Dr. Hong Lao Murray |
First Address | Kailua Kona, HI 96740-1693 |
Second Address | Kailua Kona, HI 96740-1693 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2011 |
Last Update Date | 06/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ZX8294 | (05) | SC |