Individual
LISA REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(972) 981-7225
Mailing address
13290 NOEL RD APT 206, DALLAS, TX 75240-5654
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1001885
TX
Other
Enumeration date
03/24/2023
Last updated
06/28/2023
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