Provider Demographics
NPI:1366818171
Name:MOHAMED, LAILA A
Entity type:Individual
Prefix:MISS
First Name:LAILA
Middle Name:A
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GROVE CITY RD APT 107
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2599
Mailing Address - Country:US
Mailing Address - Phone:614-230-7005
Mailing Address - Fax:
Practice Address - Street 1:3500 GROVE CITY RD APT 107
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2599
Practice Address - Country:US
Practice Address - Phone:614-230-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-16
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide