Basic Information
Provider Information
NPI: 1013176817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOUREDDINE
FirstName: LAMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 200 HAWKINS DR
Address2: DEPT OF INTERNAL MEDICINE/NEPHROLOGY
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193563446
FaxNumber: 3193562999
Practice Location
Address1: 200 HAWKINS DR
Address2: DEPT OF INTERNAL MEDICINE/NEPHROLOGY
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193563446
FaxNumber: 3193562999
Other Information
ProviderEnumerationDate: 06/05/2008
LastUpdateDate: 09/29/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD-41918IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300XMD-41918IAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RH0005XMD-41918IAN Allopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist

No ID Information.


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