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Individual

LAURIE A REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
117 WEST ST., CONNEAUT, OH 44030
(440) 593-6551
(440) 593-6552
Mailing address
117 WEST ST., CONNEAUT, OH 44030
(440) 593-6551
(440) 593-6552

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA09445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000557159
ANTHEM BLUE SHIELD
OH
05
2803354
OH
Enumeration date
06/19/2007
Last updated
01/21/2010
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