Individual
LORI REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 245-7230
(540) 245-7235
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN526868L
PA
363L00000X
Nurse Practitioner
Primary
0024186243
VA
363L00000X
Nurse Practitioner
SP026130
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0261430
LICENSE
PA
Enumeration date
06/15/2022
Last updated
06/22/2023
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