Doctor Name: | DR. LAURA TORRES-REYES |
NPI Number: | 1295711166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., M.P.H. |
License Number: | 58429 |
Business Practice Address: | 2510 5th St Bldg 840 Wright Patterson Afb, OH - 454337951 |
Business Phone Number: | 9379383084 |
Business Fax Number: | |
Mailing Address: | 1917 Red Robin Dr N, XENIA |
State: | OH |
Postal Code: | 453859914 |
Phone Number: | 3014125280 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 58429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |