MEDICARE: LORI REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN.075396	OH

General Provider Information

NPI Number	:	1063982932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI REED

Provider Business Mailing Address
First Line	:	8225 RUSSELLVILLE WINCHESTER RD
Second Line	:
City	:	RUSSELLVILLE
State	:	OH
Zip	:	45168-9728
Country	:	US
Telephone Number	:	937-515-9252
Fax Number	:

Provider Business Practice Location Address
First Line	:	8225 RUSSELLVILLE WINCHESTER RD
Second Line	:
City	:	RUSSELLVILLE
State	:	OH
Zip	:	45168-9728
Country	:	US
Telephone Number	:	937-515-9252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	12/04/2018

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Directions to “ LORI REED ” Practice Location

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