Provider Demographics
NPI:1538485677
Name:SUHAILA, LENA (ND)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:SUHAILA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 MIDDLEFIELD ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306
Mailing Address - Country:US
Mailing Address - Phone:650-564-7060
Mailing Address - Fax:415-854-0498
Practice Address - Street 1:3200 MIDDLEFIELD ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306
Practice Address - Country:US
Practice Address - Phone:650-564-7060
Practice Address - Fax:415-854-0498
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI184175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath