Individual
LAILA NOOR MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 MEDICAL PARK RD, MOORESVILLE, NC 28117-8540
(704) 664-9506
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2021-02017
NC
207RG0100X
Gastroenterology Physician
282536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04800208
—
NY
Enumeration date
03/25/2011
Last updated
08/10/2023
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