Doctor Name: | LAUREN DIANE REED |
NPI Number: | 1033473731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC006403 |
Business Practice Address: | 130 S Bryn Mawr Ave Bryn Mawr, PA - 190103121 |
Business Phone Number: | 2818148053 |
Business Fax Number: | |
Mailing Address: | 91 N Hunters Crossing Cir, THE WOODLANDS |
State: | TX |
Postal Code: | 773814779 |
Phone Number: | 2818148053 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC006403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |