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Individual

DR. LAURIE BETH REEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1351 S COUNTY TRL, SUITE 200B, EAST GREENWICH, RI 02818-5079
(401) 886-0923
Mailing address
1351 S COUNTY TRL, SUITE 200B, EAST GREENWICH, RI 02818-5079
(401) 886-0923

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0062390
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0062390
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC1923
R/R MEDICARE GROUP #
MD
01
P00201295
R/R MEDICARE PROVIDER #
MD
Enumeration date
06/12/2006
Last updated
03/06/2008
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