Provider Demographics
NPI:1912927278
Name:NOEL, LENORE T (MD)
Entity type:Individual
Prefix:
First Name:LENORE
Middle Name:T
Last Name:NOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6470 MAIN ST
Mailing Address - Street 2:APT. 108
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2216
Mailing Address - Country:US
Mailing Address - Phone:305-821-4774
Mailing Address - Fax:
Practice Address - Street 1:17925 FRANJO RD
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5640
Practice Address - Country:US
Practice Address - Phone:305-235-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME24724208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics