Davenport-Reed, Laura D

Davenport-Reed, Laura D is an individual health care provider with primary practice located at 1600 E 32Nd St , Silver City NM 88061-7287. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Davenport-Reed, Laura D can be contacted via phone (575) 538-2981.

Contact Information

Primary practice address
1600 E 32Nd St Silver City NM 88061-7287
Fax: (575) 388-3373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2003-0018 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003-0018 New Mexico

Profile Details

NPI number 1164473641
LBN Legal business name Davenport-Reed, Laura D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164473641 NPPES
New Mexico MEDICAID 35007079

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