Provider Demographics
NPI:1548914658
Name:REED, TRINA LASANE
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:LASANE
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 COTSWOLD ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8150
Mailing Address - Country:US
Mailing Address - Phone:843-409-8482
Mailing Address - Fax:
Practice Address - Street 1:2908 COTSWOLD ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8150
Practice Address - Country:US
Practice Address - Phone:843-409-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)