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NPI Code Detail

MEDICARE: MS. LAURA K MARTIN REED L.AC.

MEDICARE: MS. LAURA K MARTIN REED L.AC.
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
1171100000XAcupuncturist003820NY

General Provider Information

NPI Number : 1992904841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA K MARTIN REED L.AC.
Provider Business Mailing Address
First Line : 25 PINE RIDGE CIR
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-2049
Country : US
Telephone Number : 315-849-1172
Fax Number :
Provider Business Practice Location Address
First Line : 5496 E TAFT RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3784
Country : US
Telephone Number : 315-849-1172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 02/11/2014

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