| Doctor Name: | LAILA NOORUDDIN |
| NPI Number: | 1063731941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N. |
| License Number: | 712257 |
| Business Practice Address: | 2321 Olympia Dr Suite 100 Flower Mound, TX - 750281845 |
| Business Phone Number: | 9726913777 |
| Business Fax Number: | 9726913666 |
| Mailing Address: | Po Box 35629, DALLAS |
| State: | TX |
| Postal Code: | 752350629 |
| Phone Number: | 2144242213 |
| Fax Number: | 2142312159 |
| NPI Enumeration Date: | 05/18/2010 |
| NPI Last Update Date: | 05/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 712257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |