MEDICARE: LORENZO B REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1073823126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENZO B REED

Provider Business Mailing Address
First Line	:	7116 MANZANARES DR.
Second Line	:
City	:	N. LAS VEGAS
State	:	NV
Zip	:	89084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 W CHEYENNE AVE STE 10
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-3931
Country	:	US
Telephone Number	:	702-290-9398
Fax Number	:	702-664-6230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	03/28/2024

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Directions to “ LORENZO B REED ” Practice Location

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