Provider Demographics
NPI:1730218496
Name:SCHLESINGER, STEPHEN LARRY (MD,FACS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LARRY
Last Name:SCHLESINGER
Suffix:
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LONO AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1633
Mailing Address - Country:US
Mailing Address - Phone:808-721-6730
Mailing Address - Fax:808-871-9726
Practice Address - Street 1:33 LONO AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1633
Practice Address - Country:US
Practice Address - Phone:808-721-6730
Practice Address - Fax:808-871-9726
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-2660208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAS9450040Medicare UPIN