Provider Demographics
NPI:1699302463
Name:REEDER, LAURA ANN (CPM, LM)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:REEDER
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 COUNTY ROAD 447
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35057-3059
Mailing Address - Country:US
Mailing Address - Phone:256-338-7772
Mailing Address - Fax:
Practice Address - Street 1:1278 COUNTY ROAD 447
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35057-3059
Practice Address - Country:US
Practice Address - Phone:256-338-7772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0011176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife