Provider Demographics
NPI:1033473731
Name:REED, LAUREN DIANE (DPM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:DIANE
Last Name:REED
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:DIANE
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17215 RED OAK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2611
Mailing Address - Country:US
Mailing Address - Phone:281-444-4114
Mailing Address - Fax:281-444-7789
Practice Address - Street 1:1702 FM 1960 BYPASS RD E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3916
Practice Address - Country:US
Practice Address - Phone:281-446-7173
Practice Address - Fax:281-446-3846
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2144213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist