Healthcare Provider Details

I. General information

NPI: 1902487424
Provider Name (Legal Business Name): LAUREN ELIZABETH REID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVE STE 447
MEMPHIS TN
38103-3438
US

IV. Provider business mailing address

4150 DEPUTY BILL CANTRELL MEMORIAL ROAD SUITE 260
CUMMING GA
30040-3021
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-5885
  • Fax:
Mailing address:
  • Phone: 770-292-3045
  • Fax: 770-292-3046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number111080
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: