Individual provider Active NPI

Lauren Elizabeth Reynolds, M.D.

  • Internal Medicine Physician
  • Parma, OH
National Provider Identifier
1649512229
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CS00223286 Issued in NM
Practice address
8787 Brookpark Rd
Parma, OH 44129
Phone
(216) 739-7000
Fax
(216) 229-2597
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CS00223286 NM Primary

Addresses

Primary practice location

8787 Brookpark Rd
Parma, OH 44129

Mailing address

8787 Brookpark Rd
Parma, OH 44129-6809
Phone (216) 739-7000

Other practice location 1

Internal Medicine Msc10 5550
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6331

Other practice location 2

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone (505) 265-1711 ext. 6914

Other names 1

  • Dr. Lauren Elizabeth Liaboe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217002573 IA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3779719539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CS00223286NMMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1649512229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000",
            "fax_number": "216-229-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "216-739-7000",
            "fax_number": "216-229-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Internal Medicine Msc10 5550",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 San Pedro Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871085153",
            "country_code": "US",
            "telephone_number": "505-265-1711 x6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "CS00223286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LIABOE",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.