Provider Demographics
NPI:1922579010
Name:REED, LELIA M (RN)
Entity Type:Individual
Prefix:
First Name:LELIA
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8195 HERON LN
Mailing Address - Street 2:
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-2029
Mailing Address - Country:US
Mailing Address - Phone:443-684-8162
Mailing Address - Fax:410-586-0622
Practice Address - Street 1:8195 HERON LN
Practice Address - Street 2:
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-2029
Practice Address - Country:US
Practice Address - Phone:443-684-8162
Practice Address - Fax:410-586-0622
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR070638163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology