# LISA H. REAVES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346297058
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-08-3872 | OH | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000181651 | UNISON MEDICAID \# | OH |
| 01 | — | 000000331620 | ANTHEM BCBS | — |
| 01 | — | 001714155 | MOUNTAIN STATE BCBS | — |
| 01 | — | 2467772 | MOLINA MEDICAID \# | OH |
| 05 | — | 2467772 | — | OH |
| 05 | — | 3000166000 | — | WV |
| 01 | — | 310917085108 | CARESOURCE MEDICAID \# | OH |
| 01 | — | P00116589 | RR MEDICARE | OH |