Doctor Name: | LAURA REILLY |
NPI Number: | 1821023896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME83265 |
Business Practice Address: | 10600 Mastin St Overland Park, KS - 662125723 |
Business Phone Number: | 9134696447 |
Business Fax Number: | 9133381311 |
Mailing Address: | Po Box 741331, ATLANTA |
State: | GA |
Postal Code: | 303741331 |
Phone Number: | 9134690503 |
Fax Number: | 9134695267 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME83265 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |