MEDICARE: LAURA M REICH M.D.

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	208000000X	Pediatrics Physician	DR.0026942	CO

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	:	1821090531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M REICH M.D.

Provider Business Mailing Address
First Line	:	3585 VAN TEYLINGEN DR
Second Line	:	SUITE E
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-4875
Country	:	US
Telephone Number	:	719-638-9772
Fax Number	:	719-638-9914

Provider Business Practice Location Address
First Line	:	3585 VAN TEYLINGEN DR
Second Line	:	SUITE E
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-4875
Country	:	US
Telephone Number	:	719-638-9772
Fax Number	:	719-638-9914

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	08/16/2016

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