MEDICARE: LORI KAY REED MD

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	174400000X	Specialist	ME89974	FL
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	58662	MN
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	24101	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285639955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI KAY REED MD

Provider Business Mailing Address
First Line	:	2500 N STATE ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4500
Country	:	US
Telephone Number	:	601-984-6525
Fax Number	:	601-984-5151

Provider Business Practice Location Address
First Line	:	2500 N STATE ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4500
Country	:	US
Telephone Number	:	601-984-6525
Fax Number	:	601-984-5151

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	05/04/2016

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Directions to “ LORI KAY REED MD” Practice Location

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