Individual
LAILA ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 NW 114TH ST, SUITE 240, CLIVE, IA 50325-7007
(515) 222-7700
Mailing address
1055 6TH AVE, SUITE 200, DES MOINES, IA 50314-2607
(515) 643-8672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36421
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477752
—
IA
Enumeration date
08/25/2006
Last updated
07/08/2007
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