Healthcare Provider Details

I. General information

NPI: 1508158320
Provider Name (Legal Business Name): LAUREN BOWEN REOMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NIH CLINICAL CENTER 10 CENTER DRIVE BLDG10 7C103
BETHESDA MD
20878
US

IV. Provider business mailing address

12236 WONDER VIEW WAY
NORTH POTOMAC MD
20878-3750
US

V. Phone/Fax

Practice location:
  • Phone: 301-435-7531
  • Fax:
Mailing address:
  • Phone: 561-329-5735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN15932
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD78512
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number80160
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: