Individual
LISA CAROL REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1053820
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051509884
BLUE CROSS
AL
01
—
430074678
RR MEDICARE
AL
Enumeration date
08/11/2006
Last updated
07/18/2011
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