Provider Demographics
NPI:1598885881
Name:LOURDURAJ, LEENA THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:THOMAS
Last Name:LOURDURAJ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1928 HIGH HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7794
Mailing Address - Country:US
Mailing Address - Phone:919-449-2434
Mailing Address - Fax:919-361-7201
Practice Address - Street 1:1912 ALEXANDER DRIVE
Practice Address - Street 2:
Practice Address - City:RESEARCH TRIANGLE PARK
Practice Address - State:NC
Practice Address - Zip Code:27709
Practice Address - Country:US
Practice Address - Phone:800-533-0567
Practice Address - Fax:919-361-7201
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology