Provider Demographics
NPI:1770794059
Name:HIGGINS, ILONA LASZLO (MD)
Entity type:Individual
Prefix:DR
First Name:ILONA
Middle Name:LASZLO
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 6805
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-6805
Mailing Address - Country:US
Mailing Address - Phone:808-885-6860
Mailing Address - Fax:808-885-0347
Practice Address - Street 1:45-549 PLUMERIA ST
Practice Address - Street 2:
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6902
Practice Address - Country:US
Practice Address - Phone:808-775-7204
Practice Address - Fax:808-775-9404
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD 5037207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIB72801Medicare UPIN