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NPI Code Detail

MEDICARE: DR. LAURENE ELIZABETH REED DO

MEDICARE: DR. LAURENE ELIZABETH REED DO
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
1207P00000XEmergency Medicine Physician5151013596MI
2207P00000XEmergency Medicine PhysicianDO214960OR

General Provider Information

NPI Number : 1679008460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURENE ELIZABETH REED DO
Provider Business Mailing Address
First Line : 130 CLEVELAND ST
Second Line :
City : LEBANON
State : OR
Zip : 97355-4505
Country : US
Telephone Number : 541-570-9321
Fax Number :
Provider Business Practice Location Address
First Line : 2700 NW STEWART PKWY
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1214
Country : US
Telephone Number : 541-673-0611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2017
Last Update Date : 06/29/2023

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