Provider Demographics
NPI:1396184552
Name:REEDY, LAUREN (CD(DONA))
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:REEDY
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-1842
Mailing Address - Country:US
Mailing Address - Phone:618-203-4303
Mailing Address - Fax:
Practice Address - Street 1:413 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-1842
Practice Address - Country:US
Practice Address - Phone:618-203-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula