Healthcare Provider Details

I. General information

NPI: 1194242735
Provider Name (Legal Business Name): LAUREN REDD P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 WEST PORTAGE TRAIL STE. 200
CUYAHOGA FALLS OH
44223-3613
US

IV. Provider business mailing address

2000 AUBURN DR STE.350
BEACHWOOD OH
44122-4327
US

V. Phone/Fax

Practice location:
  • Phone: 234-274-7546
  • Fax: 330-680-6851
Mailing address:
  • Phone: 440-646-1600
  • Fax: 440-646-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.005112RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: