MEDICARE: LORIE REED CNM

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	367A00000X	Advanced Practice Midwife	RN098034	GA

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

General Provider Information

NPI Number	:	1437144862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIE REED CNM

Provider Business Mailing Address
First Line	:	880 CRESTMARK DR
Second Line	:	SUITE 200
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-2646
Country	:	US
Telephone Number	:	770-941-8662
Fax Number	:	770-739-6006

Provider Business Practice Location Address
First Line	:	880 CRESTMARK DR
Second Line	:	SUITE 200
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-2646
Country	:	US
Telephone Number	:	770-941-8662
Fax Number	:	770-739-6006

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/08/2007

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Directions to “ LORIE REED CNM” Practice Location

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