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NPI Code Detail

MEDICARE: LAUREN ELIZABETH REID MD

MEDICARE: LAUREN ELIZABETH REID 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
1207Y00000XOtolaryngology Physician111080GA

General Provider Information

NPI Number : 1902487424
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH REID MD
Provider Business Mailing Address
First Line : 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
Second Line : SUITE 260
City : CUMMING
State : GA
Zip : 30040-3021
Country : US
Telephone Number : 770-292-3045
Fax Number : 770-292-3046
Provider Business Practice Location Address
First Line : 920 MADISON AVE STE 447
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-3438
Country : US
Telephone Number : 901-448-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 05/11/2026

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