Healthcare Provider Details

I. General information

NPI: 1740222744
Provider Name (Legal Business Name): LAURIE BETH REEDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PLYMOUTH AVE STE 702
FALL RIVER MA
02721-4300
US

IV. Provider business mailing address

203 PLYMOUTH AVE STE 702
FALL RIVER MA
02721-4300
US

V. Phone/Fax

Practice location:
  • Phone: 508-689-3783
  • Fax:
Mailing address:
  • Phone: 508-689-3783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number233616
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number233616
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: