Individual
LISA E REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLYTHEWOOD DR, COLUMBIA, TN 38401-4828
(931) 381-5757
Mailing address
100 BLYTHEWOOD DR, COLUMBIA, TN 38401-4828
(931) 381-5757
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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