Provider Demographics
NPI:1316952120
Name:LEE K.W. AU M.MD., INC.
Entity type:Organization
Organization Name:LEE K.W. AU M.MD., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:KUEI WEN
Authorized Official - Last Name:AU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-247-4811
Mailing Address - Street 1:46-001 KAMEHAMEHA HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3777
Mailing Address - Country:US
Mailing Address - Phone:808-247-4811
Mailing Address - Fax:808-234-1828
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 305
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3777
Practice Address - Country:US
Practice Address - Phone:808-247-4811
Practice Address - Fax:808-234-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5149174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty