Reckley, Lauren

Reckley, Lauren is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Reckley, Lauren can be contacted via phone (712) 312-5445.

Contact Information

Primary practice address
9300 Dewitt Loop Fort Belvoir VA 22060-5285
Phone: (712) 312-5445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18560 Hawaii
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 18560 Hawaii

Profile Details

NPI number 1659784759
LBN Legal business name Reckley, Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Aug 6th, 2019 - about 7 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 1659784759 NPPES
Hawaii MEDICAID VAD000

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