Provider Demographics
NPI:1972777308
Name:MNAYER, LAILA O (MS, PHD)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:O
Last Name:MNAYER
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Gender:F
Credentials:MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:129 PATRICIA M GENOVA DR
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-1543
Mailing Address - Country:US
Mailing Address - Phone:860-545-3589
Mailing Address - Fax:860-696-8124
Practice Address - Street 1:129 PATRICIA M GENOVA DR
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-1543
Practice Address - Country:US
Practice Address - Phone:860-545-3589
Practice Address - Fax:860-696-8124
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician