Individual
LORNA RAE REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
218 W WHITE MOUNTAIN BLVD, SUITE D, LAKESIDE, AZ 85929-7013
(928) 367-9995
(928) 367-9988
Mailing address
PO BOX 99, OVERGAARD, AZ 85933-0099
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN039092
AZ
363L00000X
Nurse Practitioner
Primary
AP0182
AZ
Other
Enumeration date
07/01/2006
Last updated
08/22/2014
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