Healthcare Provider Details

I. General information

NPI: 1801720107
Provider Name (Legal Business Name): 2LR HEALTHCARE HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4791 WOODMERE BLVD
MONTGOMERY AL
36106
US

IV. Provider business mailing address

4791 WOODMERE BLVD
MONTGOMERY AL
36106
US

V. Phone/Fax

Practice location:
  • Phone: 334-462-7624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RALPH REDD
Title or Position: MEMBER
Credential: MD
Phone: 334-462-7624