Lelia M. Reed, RN

Individual provider Active NPI Gerontology Registered Nurse · Lusby, MD

NPI 1922579010 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1922579010
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Registered Nurse 163WG0600X
License
R070638 (MD)
Practice address
8195 Heron LN
Lusby, MD 20657-2029
Phone
(443) 684-8162
Fax
(410) 586-0622
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R070638MDMDGerontology Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X R070638 MD Yes

Addresses

Primary practice location

8195 Heron LN
Lusby, MD 20657-2029

Mailing address

8195 Heron LN
Lusby, MD 20657-2029
Phone (443) 684-8162

Other providers in Lusby, MD

All providers in Lusby, MD · Gerontology Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.