Individual
LISA H. REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5139
(740) 446-8683
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8834
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-08-3872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000181651
UNISON MEDICAID #
OH
01
—
000000331620
ANTHEM BCBS
—
01
—
001714155
MOUNTAIN STATE BCBS
—
01
—
2467772
MOLINA MEDICAID #
OH
05
—
2467772
—
OH
05
—
3000166000
—
WV
01
—
310917085108
CARESOURCE MEDICAID #
OH
01
—
P00116589
RR MEDICARE
OH
Enumeration date
05/28/2006
Last updated
08/18/2025
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