Provider Demographics
NPI:1609951797
Name:LAU, RICHARD KIM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KIM
Last Name:LAU
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 608
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4403
Mailing Address - Country:US
Mailing Address - Phone:808-955-3636
Mailing Address - Fax:808-943-2777
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 608
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-955-3636
Practice Address - Fax:808-943-2777
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI5629207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine