Provider Demographics
NPI:1699572651
Name:REEK, LAUREN (DOULA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:REEK
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578 NORTHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2702
Mailing Address - Country:US
Mailing Address - Phone:516-578-9240
Mailing Address - Fax:
Practice Address - Street 1:50 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4815
Practice Address - Country:US
Practice Address - Phone:516-578-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula