Provider Demographics
NPI:1508815614
Name:RICARDO-DUKELOW, MARY LYNN FINES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY LYNN
Middle Name:FINES
Last Name:RICARDO-DUKELOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:98-1780 IPUALA LOOP
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2424 KALAKAUA AVE # 476A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3233
Practice Address - Country:US
Practice Address - Phone:808-922-6000
Practice Address - Fax:808-922-2680
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2007-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE23296207RI0200X
HI13253207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease