Provider Demographics
NPI:1316151061
Name:REED, RAMONA LORENE (MD)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:LORENE
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LORENE
Other - Last Name:BOOZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12497 W 69TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2323
Mailing Address - Country:US
Mailing Address - Phone:303-420-1906
Mailing Address - Fax:303-421-2346
Practice Address - Street 1:12497 W 69TH AVENUE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-2323
Practice Address - Country:US
Practice Address - Phone:303-420-1906
Practice Address - Fax:303-421-2346
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2015-09-22
Deactivation Date:2015-07-09
Deactivation Code:
Reactivation Date:2015-09-22
Provider Licenses
StateLicense IDTaxonomies
CO176882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E22851Medicare UPIN