Provider Demographics
NPI:1275211070
Name:LAHOUD, MERIDETH COURTNEY (NP)
Entity Type:Individual
Prefix:
First Name:MERIDETH
Middle Name:COURTNEY
Last Name:LAHOUD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MERIDETH
Other - Middle Name:COURTNEY
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-3131
Mailing Address - Fax:704-316-3132
Practice Address - Street 1:1401 MATTHEWS TOWNSHIP PKWY STE 212&312
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5402
Practice Address - Country:US
Practice Address - Phone:704-316-3131
Practice Address - Fax:704-316-3132
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018377363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner